AIR TICKET RESERVATION FORM

General data.

Name:
Address:
Company/Business:
ZIP: City: State:
Phone: Fax: Cell:
E-mail:

Inform the departure option of your preference. In case you don't confirm one we will contact you.

1) Departure day/time: City: Return day/time:
2) Departure day/time: City: Return day/time:
Airline company: Two way ticket rate Airport Tax Installments

Payment procedure: Banking transference: Credit Card: Invoice:

Or click here to get a .doc file containing the AIR TICKET RESERVATION FORM

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POLITRAVEL - Consultoria de Viagens, Turismo e Eventos
Responsable: Lúcio G. Chaves
Phone: 5511 3231-0954 / 5511 3231-1797
e-mail: politravel@ig.com.br