I.- CUSTOMER INFORMATION |
First Name
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Last Name :
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Adress:
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Phone
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Fax :
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E-mail
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Adress
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City
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Country :
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II.- COMPANY INFORMATION |
Company
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Ocupation :
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Adress:
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City
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Fax :
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Phone:
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E- mail
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Country :
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| III.-
RESERVATION INFORMATION
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| Quantity
and Tipe Of Rooms:
Suite Simple
Suite Doble
Junior Suite
Senior Suite |
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Number of Adults :
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Number of Children :
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| Date and Hour of Arrival:
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Arrival Date : |
(dd)
(mm)
(yy) |
| Departure Date: |
(dd)
(mm)
(yy) |
| Airline:
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Flight Number:
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| Arrival Time: |
(hh)
(mm)
(ss) |
| IV.-
FORMS OF PAYMENT
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Master
Card
Visa
American Express
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Credit Card Number :
Card Holder:
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Expiration Date: |
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sabfdjsfh Month:
agfadgas Year
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V.-
SPECIAL REQUERIMENTS
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| Please let us know the way you want us to send your confirmation: |
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E-mail
Fax
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| ¿Do you Want Airport Transfer? |
yes
no |
| (Price S/ 64.00 per car, only if you require) |
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| ¿Do You Wan a City Tour? |
yes
no |
| ***** Ask for our Promotinal Rates |
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| Ask for your comments or requeriments:
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IV.-
OBSERVATION
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| Your credit card number will be use as a garantee of your reservation. In case of cancelling be sure to make it between 72 hours before arrival to avoid expenses of "NO SHOW" which is a equivalent to 1 night
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