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His Data:

Name:
Address
E-mail:
City / State:
 Country:
Residential telephone:
 Commercial telephone:

Reserves:

 
Accomodations:
Single: Double: Triple:
It dates from Entry : (mm/dd/aaaa)
 It dates from Exit: (mm/dd/aaaa)
Adults' number:
 Children's number:
 (up to 05 years in the room with parents)

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Phone: +55 (21) 8123.1878  - Phone/Fax: +55 (21) 2295-6624 / +55 (24) 3365-1593