Fax Reservation

Print this fax sheet and send to:
Moenga Hostal
Fax:(56-32) 551 000
Easter Island - Chile




First Name ________________________________________________________________

Last Name_________________________________________________________________

City, Country ______________________________________________________________

E-mail ___________________________________(necessary to confirm)

Date of Arrival___________________________ Hour AM__________ or PM__________

Date of Departure____________________________

Quantity of persons:____________ adults, ______________ Childs.

Type of Room (s)_______________________(single, doble with one or two beds, triple, suite)

Price sigth to screen:_________________________

1. Type of Credit Card________________________

2. Number _________________________________

3. Expiration Date ___________________________

4. Name of Card Holder _____________________________________________________

INFORMATION AND RESERVATIONS

MOENGA HOSTAL
Tu'u Koihu s/n Fono-fax: (56-32) 551000
Easter Island - Chile

(back to Home)