Reservation Form
INFORMATION
Family Name:
Name:
Mr.
Mrs.
Company Organization:
Full Address:
City:
State:
Zip:
Country:
Phone Number:
Country Code:
Area Code:
Number:
Fax Number:
Country Code:
Area Code:
Number:
E-mail:
HOTEL ACCOMMODATION
Leme Othon Palace
Type:
Single
Double
Triple
Period of your stay:
From
To
If sharing room please inform accompanying person's name:
Family Name:
Name:
Mr.
Mrs.
Family Name:
Name:
Mr.
Mrs.
FLIGHT INFORMATION
Arrival Date:
Airline Company:
Flight Number:
Arrival Time:
From: (City Name)
Departure Date:
Airline Company:
Flight Number:
Departure Time:
To (City Name):
Notes:
GENERAL CONDITIONS
Please fill out this reservation form and send it to us immediately.
The School Organizers will only be responsable for accommodation at Leme Othon Palace Hotel
from June 06 to 12, 2010.
Phone: 00 55 21 3203-4822 / Fax : 00 55 21 3203-4823
eventos@sarahtur.com.br