Personal Reserve






Ladies guests, please fill out all fields below:
(Fields marked with * are required)



*Name:


*CPF:


Accompany:


Company:


Address:


Neighborhood: City: State:

ZIP:      *Phone: Fax:

*E-mail:


*Arrival Date::

dd/mm/aaaa
  

*Publication Date:

dd/mm/aaaa
  
*Time of Arrival:

hh:mm:ss


*Type of Apartment

Standard
Standard Individual
Standard Double
Standard Triple


Luxury Without Air
Luxury Individual
Luxury Double
Luxury Couple

Luxury With Air
Luxury Individual
Luxury Double
Luxury Couple


Suite Without Air
Suite Individual
Suite Double
Suíte Casal
Suite Triple
Suite Quad
Suite Quintuple


Suite With Air
Suite Individual
Suite Double
Suite Couple
Suite Triple
Suite Quad
Suite Quintuple


*Method of Payment
Advance (Bank name: Banco do Brasil- Agency: 0308-5 Account - 66768-4)
Cash (Cash/Check or Card)
Invoiced (Fax de autorização da empresa já cadastrada)


*Comments:


Additional Information

Date of birth:
dd/mm/aa

Apartments:
Front Background
High Low







José Gomes Bustamante Street,nº10,(In front of the Hospital School)
Phone/Fax.: +55-35-3623-4500 - ZIP 37500-098 - Itajubá -M.G.
E-mail.:rrpalacehotel@yahoo.com.br
WWW.RRPALACEHOTEL.COM.BR


RR Palace Hotel - Tel/Fax.: (035)3623-4500