HOTEL RESERVATION FORM
Deadline of reservation: 17 August 2001. After this date reservation accommodation will be confirmed only upon hotel availability.
| Room Type | Arrival (date and time) | Departure (date and time) | Number of Nights |
Single or double room: 190.56 Euro (1250 FF.) Breakfast, per person: 18.29 Euro (120 FF.).
Use BLOCK CAPITALS
| Last Name:
| ______________________________________________________________
| First Name:
| ______________________________________________________________
| Organisation:
| ______________________________________________________________
| Address:
| ______________________________________________________________
|
| ______________________________________________________________
| Country:
| ______________________________________________________________
| | |
| Tel. N°: | __________________________ | Fax N°: | __________________________ |
| E-mail: | ____________________________________________________________ | ||
Credit card type: AX/CB/VS/DC/MC
| Credit Card N°: | |||||||||||||||||
| Expiry Date: |
| Name of Cardholder: . . . . . . . . . . . . . . . . . . . . . . . . . | Total in Euro: . . . . . . . . . . . . |
Date / Signature:
A one night deposit is required to guarantee the room.
Reservation will not be accepted without credit card information.
The form is to be returned to:
HOTEL SOFITEL PARIS FORUM RIVE GAUCHE
17, Boulevard Saint Jacques
75014 PARIS
FRANCE
Tel.: +33 1 40 78 79 55, Fax: +33 1 40 78 78 04