Personal information
* - Required fields
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* First Name
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* Last Name
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* Country
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* City
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* Address
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* Phone #
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* E-mail
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Reservation requirements
* - Required fields
The prices indicated here may
change. The hotel will confirm
the prices applicable for the
dates requested.
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Single Quantity
price : 100,- Lt |
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Double Quantity
price : 115,- Lt |
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Triple Quantity
price : 170,- Lt |
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Suite Quantity
price : 170,- Lt |
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* Check-in
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| * Staying for |
night (s)
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| Number of persons |
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Estimated cost (hotel will
confirm)...
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,- Lt |
Credit card information
If you leave your Credit Card
number, it will be encrypted and
then sent to the hotel
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Credit Card
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| Name as on Credit Card |
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| Credit Card number |
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| Credit Card expiration date |
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| I will pay upon arrival |
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| Charge my Credit Card |
if this option is selected,
Credit Card fields above are
required
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| * Confirm my order by e-mail |
* - if different from E-mail
above
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Comments
Feel free to write any comments in
the box below
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