|
To make your hotel reservation please fax or mail the completed form to Ms Cândida Baldaia (this form must be used to qualify for the special conference rate at the hotel venue).
|
|
|
Family Name |
Title |
|
First Name |
Job Title |
|
Organization |
|
|
Address |
|
|
|
|
|
Post/Zip Code |
Country |
|
Tel |
Fax |
|
Email |
|
|
Passport No |
Expiry Date |
|
Place of Issue |
Date of Issue |
|
Arrival Date |
Flight ETA |
|
Departure Date |
Flight ETD |
|
CREDIT CARD GUARANTEE To: Amex Visa Eurocard/Mastercard Diners Club |
|
|
Card No. |
Expiry Date |
|
Cardholders Name |
Cardholders Signature |
|
FOR HOTEL USE ONLY Booking is confirmed/not confirmed |
|
|
Acknowledged by |
Date |
|
Remarks |
|
|
|
|