PLEASE FILL IN THIS RESERVATION FORM The reservation is effective when you receive the confirmation (by Email or Fax) Business Mr. Mrs. Miss Surname First Name Address Zip Code City Country Work telephone Home telephone Fax E-mail Details for reservation Arrival date Departure date Number of nights Numbre of adults Rooms Please select the room(s) of your choice None One Two Three Four Five Single room None One Two Three Four Five Double room None One Two Three Four Five Three bedromm None One Two Three Four Five Four Bedroom Payment on arrival and departure Type of card : Eurocard-Mastercard Visa Diners Club American Express Card number : : Expiration date : : 01 02 03 04 05 06 07 08 09 10 11 12 2001 2002 2003 2004 2005 Remarks/Questions
Surname
First Name
Address
Zip Code
City
Country
Work telephone
Home telephone
Fax
E-mail