3rd WORKSHOP ON ICHNOTAXONOMY
Prague, Jevíčko, September 4 – 9, 2006
   ACCOMMODATION FORM

First Name

Surname

Title
Institution
Mailing Address
Post Code
Town
Country
Phone
Fax
E-mail
Arrival
Departure
Nights

FOR EUROPEAN UNION ONLY! Participants are obliged to indicate VAT number if the payment is made by a company or institution. VAT number: 
I wish to reserve the following accommodation:
HOTEL SINGLE ROOM DOUBLE ROOM No. of requested
SINGLE ROOMS
No. of requested
DOUBLE ROOMS
Antik City ***
105 EUR
124 EUR
Lunik ***
86 EUR
118 EUR
Museum ***
82 EUR
98 EUR
City Inn ***
74 EUR
88 EUR
Extol Inn ***
53 EUR
81 EUR
Extol Inn **+
35 EUR
61 EUR
Extol Inn **
29 EUR
49 EUR
All prices are per room, per one night incl. breakfast 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
Reservation will be guaranteed only after receipt of the one-night deposit. The rest of the accommodation payment should be covered on July 5, 2006 at latest.

Cancellation Fees
All cancellations must be done in writing and sent to Conference Partners Prague Ltd. Refunding will be performed according to the following cancellation fees:
Cancellation within 59 – 30 days prior to arrival:   50 % of the whole booking value
Cancellation within 29 – 15 days prior to arrival:   80 % of the whole booking value
Cancellation within 14 –   3 days prior to arrival:   90 % of the whole booking value
Cancellation within   2 –   0 days prior to arrival: 100 % of the whole booking value
TOTAL PAYMENT:
Automatic summarization of total payment:    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 s.r.o.
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
CVC code*
(* CVC code are the last three figures which are on the top of the signature strip on the back side of the card)