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Lead Name * Nº Pax: * Telephone: * Fax: * E-mail: Date In: * Date Out: * Nº nights Hotel: * Room Type Transfer Req YesNo ____________________________________________________________  Car Hire Group Days: Delivery Airport/Airport Accom/Accom ____________________________________________________________  Credit Card Nº Exp Date Security Code Ca Holders Name Os campos marcados com * são de preenchimento obrigatório

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