Hanggliding Pilots in Rio de Janeiro

(21)9843-9006

Reservation form

First name:	Last name:

Passengers:

Number of passengers:

Passengers biometrics units: Metric Imperial

Name	Height (eg .: 1.77)	Weight (eg .: 70)
	m	kg

Date of arrival in Rio:

/ /

(mm / dd / yyyy)

Date of departure:

/ /

(mm / dd / yyyy)

Preferred date and hotel pick up time:

/ /

(mm / dd / yyyy)

Hour:

Hotel name or local adress in Rio Phone number in Rio:

Email adress:

Will you be reading Email while in Rio?

Yes No

Reserve service:

Base price: U$ 169.00

Mode of payment: 20.00 % reservation fee Prepay in full and get 10.00 % off

Optional services:

Name	Price (US$)	Quantity

Digital inflight pictures from camera installled on wing delivered on CD	41.00
Super media pack: DVD movie from on board cameras + free CD of still pictures	83.00