Socialudvalget 2013-14
SOU Alm.del Bilag 2
Offentligt
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AMBERTON ****HOTEL RESERVATION FORMMEETING OF THE CHAIRPERSONS OF THE COMMITTEES ON SOCIAL AFFAIRS ANDLABOURNovember 10-11, 2013, Vilnius, LithuaniaPlease submit this form to the hotel before25th of October 2013fax: 370 5 210 7460e-mail:[email protected]Address: L. Stuokos Guceviciaus str. 1, Vilnius LT-01122, LithuaniaMr/Ms:FAMILY NAME:FIRST NAME:ADDRESS:COUNTRY:TELEPHONE:FAX:E-MAIL:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Room rate includes: VAT, buffet breakfast and internet.ROOM TYPE:
SINGLE
EUR125
DOUBLE
EUR135
DATE OF ARRIVAL:
__________________
DATE OF DEPARTURE:__________________
PAYMENT :Credit card: VisaEC/MCAMEXDiners ClubPlease, guarantee your reservation by your Credit card No:_________________________________________ Valid trough: ________Cancellation terms:-If room is cancelledbefore October 25th2013no cancellation penalties will be applied by the Hotel.-If room is cancelledafter October 25 and before November 7 2013,the hotel will charge 50% room price for onenight from your credit card.th-If room is cancelledafter November 7 2013,the hotel will charge 100% room price for one night from your creditcard.thth
Remarks____________________________________________________________Date: ________________________Signature: _________________________
Please fax this form to: +370 5 210 7460,or e-mail to:[email protected]Thank you