DATE PLEASE FILL IN TO THE

PLEASE PRINT THIS FORM AND TAKE A COPY TO
X PLEASE COMPLETE THE REQUIRED INFORMATION IN ADDITION THE
6 COVER SHEET (PLEASE USE THIS SHEET

ACC 4152 IMPAIRMENT ASSESSMENT (ACCREDITED EMPLOYER) REPORT PLEASE
Associate Application Form (please Print and Complete
BLACK HISTORY MONTH 2007 EVALUATION FORM PLEASE

Amsterdam, XXXX XXX 2006

_________________________________________________________________________________

Date : please fill in

To : The Manor Amsterdam (Reservations Department)

FAX : +31 20 5307819

Email : [email protected]

Pages : 1

Subject : Confirmation Reservation (GF 3809) UVA- BEAM 2018 ________________________________________________________________________________

Dear reservations department,

I would like to confirm my reservation at The Manor Amsterdam, Linnaeusstraat 89 - 1093 EK, Amsterdam, the Netherlands, as follows:

Group reference: GF 3809- UVA – BEAM 2018

Name guest(s): please fill in

Arrival date: please fill in

Departure date: please fill in

Number of Nights: please fill in

Number of guests: please fill in

E-mail address: please fill in

The room rate is 185.00 Euro (single use) and 200.00 Euro (double use), per room, per night including VAT, service and breakfast buffet but excluding 6% city tax. This rate is valid for the night of 23, 24 and 25 August 2018. Additional nights are on request and depend on availability (different rates might apply).

Guarantee: Credit card number: please fill in

Expiry date: please fill in

Name cardholder: please fill in

Signature: please fill in

Payment conditions and Cancellation Policy

I will settle my account during the stay in the hotel.

Cancellations which take place more than 14 days prior to the arrival date are free of charge. Within 14 days prior to arrival date or in case of no show we will be obliged to charge the value of the room (including breakfast) for all nights. Any changes made to the reservation may result in a rate change.

SIGNATURE:___________________________________________________

The official check-in time is 15:00 hrs, the official check-out time is noon. A 50% room charge based on your room rate applies for room holds until 18:00 hrs, a full day charge applies for holds after 18:00 hrs. A 100% charge of the original number of nights applies in case of early check-out.

Please return this form directly to: Group Reservations with reference (GF 3809)

E:mail: [email protected]

Fax No. +31 20 5307819

Please return this reservation form no later than 1 July 2018

as the hotel will not be able to guarantee rooms or rates after this date.

CLIENT DETAILS FORM PLEASE COMPLETE THE INFORMATION
CREDIT APPLICATION – TRANSMISSION A PLEASE REFERENCE
DATE PLEASE FILL IN TO THE

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