*Name and
last name
*Email
Telephone
Country
* Arrival date
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2007
2008
2009
2010
* Departure date
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2007
2008
2009
2010
* Room selection
0
1
2
3
4
Superior
King Bed
Twin Bed
0
1
2
3
4
Deluxe
King Bed
Twin Bed
0
1
2
3
4
Deluxe with jacuzzi
King Bed
Twin Bed
0
1
Baires Suite
King Bed
Twin Bed
*
Number of passengers
Comments
* Mandatory data
PUROBAIRES Hotel Boutique Buenos Aires – Argentina
Niceto Vega 4788 Palermo Soho
info@purobaires.com.ar
Tel/fax (5411) 4139-0100 Nextel : 54*
537*
1