Pousada Beira Mar

Request*:	Reservation Estimate Request
Complete Name*:
Company:
Address:
City:			State:
Country:			ZIP:
Telephone + Area Code*:			Fax + Area Code:
E-mail*:
Check-in Date (dd/mm/yy)*:			Check-out Date (dd/mm/yy)*:
Quantity of rooms*:			Nº Adults*:
Nº of Children til age of 5:			Nº of Children between 5-16:
Type of room*:			Form of payment:
Transfer required*:	Yes No		Airline:
Flight number:			Time of Arrival at Recife-Airport:
Information:
		*Obligatory to fill in this space


RETURN TO HOME PAGE		Information/E-mail: beiramar@elogica.com.br