hotel reservation form
Transcrição
hotel reservation form
HOTEL RESERVATION FORM th 9 International Conference on the Structure of Surfaces August 3 - 8, 2008. Salvador, Bahia, Brazil. Hotel ONDIMAR Family Name (sobrenome): Fax to: ++ 55 71 3245 4834 _____________________________________ First Name(s) (primeiros nomes): _____________________________________ Nationality (nacionalidade): _____________________________________ Number of guests: _____________ (male) Número de hóspedes: __________ (female) (masculino) (feminino) Room type: ( )Single (sgl) ( ) Double (dbl) R$ 90,00/day R$ 105,00/day All prices are increased by 5% (local tax). ( ) Triple (tpl) R$ 126,00 Check in Date (dd/mm/2008):___/____/2008 Check out Date (dd/mm/2008):___/___/2008 Data da chegada Data da saída Name of the other persons sharing the room (if applicable): Nome das demais pessoas compartilhando o apartamento _________________________________________ _________________________________________ _________________________________________ I understand that in case of “no show” the hotel is authorized to charge my credit card with the amount corresponding to the first day. Address: _____________________________________________________ _____________________________________________________ _____________________________________________________ Phones: Office:________________________ Mobile:_______________________ Email: _________________________________________________________ Please charge my credit card (por favor debite meu cartão de crédito) ( ) VISA ( ) Master Card ( ) American Express To guarantee the NO SHOW it is necessary to use the VISA option. Credit Card Number: ________________________________________ CVC2 code: ________ Expiry date (month/year): __________ (last three digits of the number printed in the signature field on the back of your card) ____________________________ Name of the cardholder as printed in the credit card __________________________________ Signature of the cardholder
Documentos relacionados
QUALITY SUITES METROPOLIS
AUTORIZACAO DE DÉBITO EM CARTÃO / AUTHORIZATION FORM Autorizo este hotel a cobrar em meu cartão as despesas por mim devidas. (I authorize this hotel to charge on my card the expenses payable by me.)
Leia maisHotel Reservation - Interspeech 2005
1st Choice Hotel ____________________________________ 2nd Choice Hotel ____________________________________ Single Double Departure ___ /___ / 2005 Total Nights _______ Arrival ___ /___ / 2005 ____...
Leia mais