France-Amazonia Guest House

If you wish to make a reservation by E-mail, please complete the form below.

If you do not have an E-mail, you can make a reservation by phone or fax, n° 593 62 890 009.

The areas with a * must be completed.

Name*

*

E-mail*

*

Adress

City

Zip code

Country

Phone

Fax

Date of arrival*

* day month year

Duration of stay (days)

Number of guests*

*

Number of rooms

single double triple quadruple

A copy of this form will be directed to your E-mail

France-Amazonia : Guest House, Misahualli (Ecuador) -  Phone/Fax : 593 62 890 009

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