For guaranteed reservations, transfer the deposit via the Swift-Code.
The fund transfer request and authorization needs
to be confirmed by fax or emailed to us to be valid.
| Email Address : | |
| Require Airport transfer? : | No Yes |
| Flight Details In : | Flight No Time (local/dps) |
| Flight Details Out : | Flight No Time (local/dps) |
| Suite Type : | Standard Superior Deluxe <- Click hyperlink for preview. |
| How many suites : | |
| Check in date : | (dd/mm/yy) |
| Check out date : | (dd/mm/yy) |
| How many adults ? : | |
| Family name : | |
| Given name : | |
| Date of Birth : | (dd/mm/yy) |
| Nationality : | |
| Passport No. : | |
| Address : | |
| City : | |
| State : | |
| Zip Code : | |
| Country : | |
| Phone : | Fax : |
| Special Request : | |
| Payment Confirmation For Payment Confirmation, send your Credit card details by Fax on no.91 832 279064, as per the form given below. Please PRINT, fill-in the details and Fax it to us. |
| Type of Card: |
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| Issuing Bank | : |
| Credit Card Number |
: |
| Expiry Date |
: |
| Card Holder's Name |
: |
| Card Holder's Signature |
: |
I hereby authorize Pousada Tauma to debit my Credit Card to the sum US$...................... | |
| Please inform us, how you found our web site | |
| Link from (name of site) : | |
| Referrer Link : | |
| Web Search Engine(s) : | |
| A friend (email/internet address) : | |
| Other (please specify) : | |
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