This version of the page http://www.almaz.poltava.ua/tour_agency_order_e.php (0.0.0.0) stored by archive.org.ua. It represents a snapshot of the page as of 2011-10-20. The original page over time could change.
Hotel inn cafe-bar Poltava location contact information

Please, fill in your Application for tour:

fill in the form with your name
and information corresponding to fields of the form and press "Send".

Please, fill the necessary contact information in form for sending your Application:
First name, last name: *
The country and resort where you would want to have a rest: *
Hotel. Specify a category or the concrete name of hotel:*
Dates of the start and of the end of rest:*
Phone (s) (it is desirable to specify mobile):*
E-mail:*
Meal (only a breakfast; a breakfast and a supper; a breakfast, a dinner, a supper; all inclusive):*
Number of people which will go on rest. To specify age of children which will go:*

The optimum price of the permit (quantity{amount} of money which you are ready to spend for rest). To specify one person. USD

Date of filling of the Application: It is filled automatically at sending the Application.
The Note. The data marked with a badge * , is obligatory for filling form’s fields.
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