INDIVIDUAL RESERVATION FORM FOR HOTELROOM BOOKING
Transcription
INDIVIDUAL RESERVATION FORM FOR HOTELROOM BOOKING
ECPRD SEMINAR Belgian Federal Parliament November, 8th- 9th 2007 INDIVIDUAL RESERVATION FORM FOR HOTELROOM BOOKING JOLLY HOTEL DU GRAND SABLON Rue Bodenbroek 2-4 1000 Brussels Tel +32 2 518 11 00 fax +32 2 518 13 58 e-mail : [email protected] site : www.jollyhotels.com ~ Please fill in this form and return it by fax no later than September 17th, 2007 directly to Jolly Hotel du Grand Sablon Reservation code : CERDP Personal information Name : First name : Nationality : Address : City : Country : Tel : Fax : E-mail : Room reservation (breakfast incl. - check-in after 3 p.m. – check-out before 11 a.m) type of room night of 7-8/11 night of 8-9/11 night of 9-10/11 night of 10-11/11 single - € 150,- / night (taxes + breakfast incl.) double single use – € 175,- / night (taxes + breakfast incl.) Arrival date : Time of arrival Departure date : : Time of departure : Confidential information Passport N° Int’l credit card N° Master Card expiration date American Express Visa other
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