|
Print this page and send it by fax to the hotel: +351 222 006 510 EuroLogo'2003 - Hotel Registration |
|
| Personal Information | |
| Name: | ______________________________________________ |
| Address: | ______________________________________________ ______________________________________________ ______________________________________________ |
| Country: | ______________________________________________ |
| Email: | ______________________________________________ |
| Telephone or Fax: |
______________________________________________ |
Accommodation |
|||
| Arrival date: | ____/__/__ | Departure date: | ____/__/__ |
| Rooms: | Single | Double | |
|
Observations: Single room (1 bed): 32,50 € Single room (suite): 37,50 € Double room (1 beds): 37,50 € Double room (2 beds): 40 € Double room (suite): 42,50 € Double room: 50 € |
|||
Payment |
|||
| Monney | Check |
| Credit Card VISA | Credit Card MASTERCARD |
| Credit Card AMERICAN EXPRESS | Multibanco |
Dead line for registration: |
|