XXIIIth International Prague, Czech Republic CIPA logo
 CIPA Symposium September 12-16, 2011
ACCOMMODATION FORM

Surname

First Name

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
Praha ***** sold out sold out
Crowne Plaza **** sold out sold out
Diplomat **** 110 EUR 120 EUR
Pyramida sold out sold out
Denisa *** 75 EUR 83 EUR
Zlata Praha *** 67 EUR 79 EUR
DAP sold out sold out
Masarykova kolej *** hotel part sold out sold out
Pension Patanka **+ 42 EUR 70 EUR
Masarykova kolej ** student part sold out sold out
Accommodation prices are displayed in Euros (converted from the local currency Czech Crowns /CZK rates) single or double rooms are charged per night, including breakfast, VAT and city fees. In case of exchange rate changes by more than 5% Conference Partners Prague Ltd. has the right to modify the prices.

Hotel Deposits:
Reservation will be guaranteed only after receipt of the one-night deposit. The rest of the accommodation payment should be covered on August 15, 2011 at latest.

Cancellation Fees:
Any cancellation must be notified in writing to Conference Partners Prague Ltd.. The payment of accommodation will be refunded in accordance with the following cancellation fees:

Cancellation fees for all other hotels:
Cancellation within 30 - 21 days prior to arrival:   30 % of the whole booking value
Cancellation within 20 - 15 days prior to arrival:   50 % of the whole booking value
Cancellation within 14 -   7 days prior to arrival:   80 % of the whole booking value
Cancellation within   6 -   0 days prior to arrival: 100 % of the whole booking value
 
 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 Československá obchodní banka, a. s., Anglická 20, 120 00 Prague 2, Czech Republic.
IBAN: CZ64 0300 0000 0001 7697 0780, BIC: CEKOCZPP
 
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