Home-Quarantine Accommodation Request Form Get in TouchAddress松山區松河街112號 台北市 台灣Phone+886 2 2528 1567 Fax+886 2 2528 3353E-mailwaterfront.reservation@bouti.com.tw Send a message Name * Surname * E-mail * Subject * Message Receive a copy of this message? * Mandatory Fields Follow Us 姓名 Name*聯絡電話 Phone Number*Email*國籍 Nationality出境國家 Country of departure入境航班 / 入境時間 Flight No. / Arrival time近兩周內曾到過的國家 Countries visited in the last two weeks(如果沒有出國，請輸入"無" / if not, please enter “none”)入住日期 Check-in date* 退房日期 Check-out date* PhoneThis field is for validation purposes and should be left unchanged.
