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ENGLISH
ESPAÑOL
RESERVATION FORM
Personal Information:
Name:
E-mail:
Phone number :
Country:
Additional Information:
Arrival date:
Day
1
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5
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7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2010
2011
2012
2013
2014
Nights:
Number of people to register :
Adults
1
2
3
4
5
6
7
8
9
Children
1
2
3
4
5
6
7
8
9
Av. Norte s/n y Eloy Yerovi
Telf.: (593-3) 272-6128 / 272-6306
Telefax: (503-3) 2727816 / 272-7309
rumipamba@rumipamba.com
www.cialcotel.com
