accommodation booking form

21st LISBON HALF-MARATHON
20 MARCH 2011
ACCOMMODATION BOOKING FORM
Please fill this form with your booking details and send it by email to [email protected]
Alternatively you can send it by fax to: +351 214 540 419
MOVE SPORTS – Organizações Desportivas Lda
Rua dos Fornos, 221, 1º Dto, 2750-066 Paço de Arcos, Lisboa, Portugal
Tel. (+351) 21 4540410 Fax. (+351) 21 4540419
Email: [email protected]
A – PERSONAL INFORMATION
First Name _____________________ Last Name _______________________
Address: ________________________________________________________
City: _______________ Country: _______________ Postal Code: __________
Tel: ________________ Fax: __________________ Email: _______________
B – ACCOMMODATION
Arrival Date: ___________ Departure Date ___________ Nº of Nights: ______
Nº of Rooms Required: _________ Doubles __________ Singles
Hotel Category
5 Stars
4 Stars
3 Stars
2 Stars
Single Room
Rate
Rate
Rate
Rate
Double Room
Rate
Rate
Rate
Rate
Hotel Preferred: 1st Choice _____________
2nd Choice ____________
3rd Choice _____________
Important Notes:
All rates are per room, per night, in Euros (€), and include breakfast, all taxes and service charge. These special rates
are available only if booking is made and paid through Move Sports, Lda. Reservation requests will be confirmed on a
first come, first served basis. In case your choice is no longer available a similar alternative hotel will be proposed and
offered to you. A deposit will be required to confirm your booking. Reservation requests received by us without a deposit
made will not be considered. After the confirmation of availability, with the indication of the name of the hotel reserved,
and acknowledging the receipt of the corresponding deposit, full prepayment of the balance is required in order to
guarantee the reservation. Upon receipt of full payment a confirmation letter will be sent, to be presented at the hotel´s
reception desk at the time of check-in.
C – TRANSPORTATION
Airport/Hotel Transfer Required: _________ YES __________ NO
Car hire Included: ________YES ________ NO
Nº of Days: __________
D – FORM OF PAYMENT – Please choose, tick-off and fill in
-
International Bank Cheque, made payable to Move Sports – Organizações Desportivas
Lda (please attach or fax copy of the cheque):
Cheque Nº: _____________ Bank: _____________ Amount: ________________
-
International Bank Transfer (Please attach copy of the bank order):
Bank Details for Transfers:
Name of the Company: Move Sports - Organizações Desportivas, Lda.
Name of the Bank: Banco Espirito Santo
Bank Adress: Bank Agency = Rua Marques de Pombal, Nº 9, 2780-681 Paço de Arcos,
Portugal
SWIFT: BESCPTPL
IBAN: PT50 0007 0000 0019 7496 6572 3
-
Credit Card
Other __________________
Cardholder´s Name ____________________________________________________
Card Number: _________________________________ Expiry Date ____________
Three last digits included on the back of the card (Excl. AMEX): _________
Hereby I authorize Move Sports – Organizações Desportivas Lda to debit this credit
card for the amount of € ______________
Signature: __________________________
Date: __________________
Liability:
Personal travel insurance is recommended as Move Sports Lda acts as agents in securing hotels, transport, travel
services and race registration and in no event shall be liable for acts or defaults in case of injury, damage, loss,
accident, delay, or irregularity, of any kind whatsoever during arrangements organized through contractors or the
employees of such contractors in carrying out services. Hotel and travel services are subject to the terms and conditions
under which they are offered to the public in general.