Deadline of reservation: 28 August 2004.
After this date reservation accommodation will be confirmed only upon Hotel availability.
Cancellation policy: a one night will be charged in cased of cancellation or no show.
Reservation will not be accepted without credit card information.

Room Type	Arrival (date and time)	Departure (date and time)	Number of Nights

Price per room & night (buffet breakfast included):

Single room: 144 € Double: 158 € Privilege Room Supplement: 40 € per room Visitor tax 0.75 €/person/night not included

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:   . . . . . . . . . . . .   €
	Date / Signature:

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The form is to be returned to:

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