QENS2004 Hotel Reservation Form (Deadline: June 30th, 2004)

QENS2004 Hotel Reservation Form (Deadline: June 30th, 2004)

1st - 4th September 2004
Arcachon, France
1- HOTEL KYRIAD **
2- HOTEL LE NOVEL**
3- HOTEL LE DAUPHIN**
10, Av. Nelly Deganne
33120 ARCACHON
Tel : ++33 (0) 5 56 83 06 23
Fax : ++33 (0) 5 56 83 41 47
24 Av du Général de Gaulle
33120 ARCACHON
Tel : ++33 (0) 5 56 83 40 11
Fax : ++33 (0) 5 56 83 10 70
7, av Gounod
33120 ARCACHON
Tel : ++33 (0) 5 56 83 02 89
Fax : ++33 (0) 5 56 54 84 90
simple : 80 € double: 90 €
simple : 67 € double : 74 €
simple : 60 € double : 68 €
4- HOTEL LA PERGOLA**
5- HOTEL LES MIMOSAS**
6- HOTEL LE NAUTIC**
40 Cours Lamarque
33120 ARCACHON
Tel : ++33 (0) 5 56 83 07 89
Fax : ++33 (0) 5 56 83 14 21
77 bis Av de la République
33120 ARCACHON
Tel : ++33 (0) 5 56 83 45 86
Fax : ++33 (0) 5 56 22 53 40
20 Bd de la Plage
33120 ARCACHON
Tel : ++33 (0) 5 56 83 01 48
Fax : ++33 (0) 5 56 83 04 67
simple : 67 € double : 74 €
simple : 51 € double : 61 €
simple : 58 € double : 64 €
The numbers before the hotel name correspond to the location on the map provided on the conference website
http://www.qens2004.org.
HOTEL ALTICA ARCACHON MARINE* (out of the map : 2.5 km away from the conference center)
75, Av. du Général Leclerc
33260 LA TESTE
Tel : ++33 (0) 5 57 52 06 50
Fax : ++33 (0) 5 57 52 06 55
simple : 40 € double : 50 €
We suggest you to book your rooms as soon as possible because the hotels have still many requests
at the beginning of September. These discounted rates are valid only for QENS2004 participants.
Please, send directly to the hotel the reservation form provided below.
……
&……………………………………………………………………………………………………………………………………………………………………………………………
QENS2004 Hotel Reservation Form
(Deadline: June 30th, 2004)
HOTEL : …………………………………………………(Depending on the vacancy)
Name : ………………..…………………………………………………………………......................…………………
Address : ………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….…………
Zip Code : …………………..City :……………………………………… Country : …………………………………...
Phone : ……………………………Fax : ………………….………..Email : ……………...…………………………….
Number of persons:
q 1 pers
q 2 pers
I wish to have :
q Single bed
q Double bed
q Twin (2 beds)
I will share my room with: ………………………………………………………………………..…………………........
Arrival Day :……………………. Departure day :…………………Number of nights : ………………………….........
I enclose a deposit of …….EUR for one night (choose one method of Payment)
q Cheque wording to the hotel name
q Credit Card VISA / American Express / Eurocard / Mastercard
Name, as it appears on the card:
Credit Card number:
Expiry date: (Month/Year)
Date:...............................................................................................Signature: