ETN Hotel Reservation Form for
PREMIER COPACABANA Hotl, RIO DE JANEIRO,R.J

This Reservation Form is sent DIRECTLY to PREMIER COPACABANA Hotl by E-Mail.
(NOT to the ETN Head Office, NOT to a travel agent or any other office)
PREMIER COPACABANA Hotl will answer your request as soon as possible.
If your reservation is confirmed, PREMIER COPACABANA Hotl will send you a Confirmation Number, the applicable GROSS or RACK Rate and the Discount Given.

Your details:

Family Name:
Initials:
Company Name: Optional !
Position: Optional !
Profession: Optional !
Street / P.O.Box:
City + State:
Country:
Postal / Zip Code:
Telephone Number: incl.Country + Area Code
Fax Number: incl.Country + Area Code
E-Mail: Absolutely necessary !
ETN Card Number:
ETN Card Expiry Date:

YES, I want to reserve the following Accommodation:


BRAZIL 22030-000   RIO DE JANEIRO,R.J RUA TONELERO 205
PREMIER COPACABANA Hotl Tel.(55)21-255 8581       Fax (55)21-237 4139
E-Mail: premier@premier.com.br
50% DISCOUNT on US$ 130 INCL.Breakfast & Taxes    FIRST CLASS * 110 Rooms
3 Blocks from the beach.  Founded in 1995.  Beautifully decorated.
10 Min.by car to downtown.  25 Min.to international airport.
Close to all of Rio's major attractions.
This property has the following Hotel (1-42) & Room (43-58) Facilities:
2-7-10-15-22-25-27-30-31-33-38-40
43-45-51-53-55-56-57

Arrival Information:

Arrival Date
Arrival Time
Arriving from
Arriving by
Arriving by Flight Number: (Optional !)

Departure Information:

Departure Date
Departing to
Departing by
Departing by Flight Number: (Optional !)

Accommodation requested (1 ETN Card needed for EACH Room)

x Single Room (1 person)
x Double Room (2 persons)
x Triple Room (3 persons)
x Quad Room (4 persons)

Car Rental requested (1 ETN Card needed for EACH Car)

Car Group
Car Pick-Up at

Remarks, Comments and Questions

Use the space below to place special requests, provide additional information, or ask any questions. You'll be answered promptly.


Credit Card Information

If your estimated Arrival Time is after 16.00 hours (4 pm), your reservation can only be guaranteed upon receipt by the Hotel of a ONE NIGHT deposit before your arrival OR by completing your Credit Card Information below.

PREMIER COPACABANA Hotl realizes that you may not be very comfortable in sending your credit card info via Internet. That's why they advise you to send your card number in one of the following TWO ways:
  1. Send EACH block of 4 digits in REVERSE order !!
    EXAMPLE: Your credit card number is: 1234 5678 9123 4567
    Below you give your credit card number as: 4321 8765 3219 7654
  2. Send your credit card number by fax to: + (55)21-237 4139

Inform how you send your credit card number:


Credit Card NUMBER 4 x 4 digits !
Expiration Date mm/yy
Name Card holder
Credit Card type