H
OTEL BOOKING FORM
C
HAMBRE DES DÉPUTÉS
C
ONFÉRENCE INTERPARLEMENTAIRE POUR LA
PESC
ET LA
PSDC
5
T
H
UNTIL
7
T
H
S
EPTEMBER
2015
Name:
Telephone:
Address:
Zip Code
Email
Arrival date:
/09/2015
Departure date:
First name:
Fax:
City:
Country:
A-Club member:
/09/2015
Number of nights:
Please fill in this form in capital letter and fax or email it back to the hotel of your choice no later than 1st
August 2015(Beyond
this date the room allotment will be released and the preferred rate will not be granted):
Novotel Luxembourg Kirchberg 4* (Ref: CHD090515)
6 Rue du Fort Niedergrünewald – L-2226 Luxembourg –
www.novotel.com
Contact: Santiago Jerry - Email:
Fax: +352 43 91 95 - Tel.: +352 42 98 48
Single Superior room at daily rate of 145.-€ including buffet breakfast
Double Superior room at daily rate of 160.-€ including buffet breakfast
Suite Novotel Luxembourg 4* (Ref: CHD090515)
6 Rue du Fort Niedergrünewald – L-2226 Luxembourg –
www.novotel.com
Contact: Santiago Jerry - Email:
Fax: +352 43 91 95 - Tel.: +352 42 98 48
Single Suite room at daily rate of 155.-€ including buffet breakfast
Double Suite room at daily rate of 170.-€ including buffet breakfast
Please fill in below your credit card details which are mandatory to process your reservation:
Credit card details:
Holder’s name:
Visa
Eurocard/Mastercard
American Express
Diners
Expiration date:
Attention:
Your reservation may be cancelled or modified with no charge until 6pm (hotel local time) 7 days prior
the arrival date. Any modification made within 7 days of the arrival date will be charged on the credit card. Any
cancellation made within 7 days prior arrival or non-arrival, the full stay will be charged on the credit card. Payment
is on spot upon departure time.
To be completed by the hotel for your confirmation:
Reservation confirmation number:
Agent name:
Confirmation date: