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$ 120.00

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	30.00
DVD movie of the entire flight with our DVD camera installed on the wing	60.00
Super media pack: Still pictures + DVD movie both from on board cameras	75.00
RIo Hang Gliding T-shirt sizes M - L - XL	15.00