2015 GIN Conference The American School of Rio de Janeiro (EARJ)
Hotel Reservation Form
Marisol Copacabana Hotel: Rua Rodolfo Dantas, 86 – Copacabana, Rio de Janeiro
AASSA Global Issues Network "Grupo"
Full Name
# of Rooms
Check In: ……/……/2015
Standard Double R$ 560.00
Standard Triple R$ 446.00
Check Out: ……/……/2015
Guest 1:
Guest 2:
Guest 3:
Guest 4:
Guest 5:
Guest 6:
Guest 7:
Guest 8:
Guest 9:
Guest 10:
Guest 11:
Guest 12:
Credit card guarantee: AMEX (_) Visa (_) Master Card (_)
Name on the Card:
Credit Card Number:
Expiry Date:
Security Code:
/
/
Cardholder's Signature:
Name of Person Placing Reservation:
Date:
/
/
Please email this form to Avipam Tourism Company
Phones:
Email: [email protected]
+55 21 3570-7766 – Luana +55 21 3570-7765 – Amanda
Please copy Rio GIN on all reservations: [email protected]