HOTEL ROOM RESERVATION FORM (FILL SIGN AND SEND IT

27 APRIL 2008 NOTE TO EDITORS HOTEL SECTOR
HOTEL RESERVATION FORM XXXV SIMPOSIO OF THE
PROGRAM KONFERENCIJE „ŽENSKA PLATFORMA +2“ ZAGREB HOTEL PANORAMA

RAMOWY PLAN OGÓLNOPOLSKIEJ KONFERENCJI DERMATOLOGICZNEJ DARŁÓWEK WSCHODNI HOTEL
REFERAT AF DSOG BESTYRELSESMØDE COMWELL HOTEL HVIDE HUS
REFERAT DSOG BESTYRELSESMØDE HOTEL GULDSMEDEN 11 DEC 2015

HOTEL ROOM RESERVATION FORM

HOTEL ROOM RESERVATION FORM (FILL, SIGN AND SEND IT TO FAX +55222620-8850 OR SCANNED TO e-MAIL [email protected] – LAURA CORRÊA)

Name: ______________________________________________________________

Mailing Adress: _______________________________________________________

City:________________________________________________________________

Country: _____________________________________________________________

Phone:_______________________ / Fax: ________________________

E-mail: ______________________

RESERVATION

Check in: Check out:

Type of room

Standard – garden view

Daily Rate SGL R$250,00 + 5% ( ) / DBL R$300,00 + 5% ( ) / TPL R$390,00 + 5% ( )

Luxo – pool view

Daily Rate SGL R$275,00 + 5% ( ) / DBL R$330,00 + 5% ( ) / TPL R$429,00 + 5% ( )

Super Luxo – sea view

Daily Rate SGL R$317,00 + 5% ( ) / DBL R$380,00 + 5% ( ) / TPL R$493,00 + 5% ( )

Suíte Piscina – pool view + jacuzzi

Daily Rate SGL R$317,00 + 5% ( ) / DBL R$380,00 + 5% ( ) / TPL R$493,00 + 5% ( )

Suíte Mar – sea view + jacuzzi

Daily Rate SGL R$380,00 + 5% ( ) / DBL R$456,00 + 5% ( ) / TPL R$590,00 + 5% ( )

Last day to make the reservations using these rates: January 31^st

PAYMENT INFORMATION

Credit Card: ( ) Visa ( ) Mastercard ( ) __________

I hereby authorize the Hotel Atlântico Búzios LTDA to charge R$___,00 plus taxes in the credit card number as follows.

Name on Credit Card (print): __________________________________

Credit Card Nº:

Credit Card Expiration Date:

Security Code:

(The security code appears on the backside of your card. It is the last three numbers which appear after your card number in the line of printed numbers on the white signature strip).

Acceptance of Terms

I agree to comply with and be bound by the terms and conditions of this Contract

Your Signature: ___________________________ Date: ___________

With this form please send us a copy of the credit card (both sides).

TÉCNICO SUPERIOR UNIVERSITARIO EN TURISMO ÁREA HOTELERÍA
1 Hotel 1868 1868 Massachusetts Avenue Cambridge ma 02140
10 JAHRE ARTE HOTEL KREMS – EINE ERFOLGSGESCHICHTE DAS

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