ACCOMMODATION FORM

Surname
First Name(s)
Title
Institution
Mailing Address
Post Code
 Town
 Country
Phone
 Fax
 E-mail
Arrival
 Departure
 Nights
I wish to reserve the following accommodation:
HOTEL SINGLE ROOM DOUBLE ROOM No. of requested
SINGLE ROOMS		 No. of requested
DOUBLE ROOMS
Crowne Plaza **** sold out sold out
 
 
Diplomat ****
(superior rooms)		 sold out sold out
Denisa *** sold out sold out
Silenzio *** sold out sold out
 
 
DAP sold out sold out
Masarykova kolej *** sold out 60 EUR
Masarykova kolej ** sold out sold out
All prices are per room, per one night incl. breakfast, city tax and incl. VAT. In case of exchange rate changes by more than 5% Conference Partners Prague Ltd. has the right to modify prices.

Hotel Deposits and Cancellation Fees:
Reservation will be guaranteed only after payment of the first night deposit is received. The balance of the hotel account should be settled by May 5, 2013 . Any cancellation must be notified in writing to the conference secretariat. The already received payment will be refunded in accordance with the following rules:

31 and more days before arrival: fully refunded
30-15 days prior to arrival: refunded after deduction of 50% of the full price
14 and less days prior to arrival: no refund
 
 TOTAL PAYMENT:
Total payment (automatic sum):    EUR
I enclose a copy of the bank transfer* in the amount of    EUR.
  Bank account No.: 176970780/0300 of the Conference Partners Prague Ltd.,
at the Èeskoslovenská obchodní banka, a. s., Anglická 20, 120 00 Prague 2, Czech Republic.
IBAN: CZ64 0300 0000 0001 7697 0780, BIC: CEKOCZPP
* Please note a copy of the bank transfer should be sent to cfrac2013@conferencepartners.cz.
 
I authorize the Conference Partners Prague Ltd. to charge my credit card
with the total payment of   EUR.
 
VISA     Eurocard/MasterCard
Card holder's name (as appears on card)
Card No.
 Expiry date