template196_MODIFICADA

Name: *
Last names:
email: *
Telephone: *
Where it lives? (to indicate country) *:
Number of people who travel: *
Type of room: *
Dates of stay: *
City or selected place: *
Category of the Hotel: *
In case it has defined the name of the hotel:
Name of the hotel:
City:
Date of entrance in hotel:
Date of exit of the hotel:
To only fill up in the case of combining with other hotels during the dates of stay:
Name of the hotel:		City:
Date of entrance in hotel:		Date of exit of the hotel:
Name of the hotel:		City:
Date of entrance in hotel:		Date of exit of the hotel:
Name of the hotel:		City:
Date of entrance in hotel:		Date of exit of the hotel:

To indicate if it wishes other services (transfers, excursions, flights, etc.):
Observations:

Note: An agent specialized in Brazil will answer to him his request of budget in a maximum of 24 hours (workable).