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Dom Pedro Madeira Contact Request Form

Name : *

Surname : *

E-mail : *

Telephone :

Check In Date :

Check out date :

Provide details of your request with: number of adults and children, type of room, board basis (breakfast/half board), etc :

I authorize the processing of personal data for the purposes of Dom Pedro Group communications, in accordance with the Data Privacy Policy.

I'm Dom Pedro Club Card meber :

Yes
No

I read and accept the Terms and Conditions as well as the Data Privacy Policy. *