EuroPar 2004 -- HOTEL RESERVATION FORM

Please fill this form, print it and return by fax to:

NORCI VIAGGI -- EUROPAR 2004
Fax: +39 050 502466
Phone: +39 050 502424
Email: gruppi@norciviaggi.it

Last Name:
First Name:
Affiliation/Company :
Postal Address:
City:
Zip: Country:
Phone: Fax:
Email:

Hotel rooms can only be reserved and confirmed upon receipt of a one night deposit guarantee by credit card. The one night deposit will be used only as a guarantee of the room reservation and the card will be charged only in case of no show. All the expenses should be payed directly to the hotel.

Card type:
Expiration date:
Card no:
Cardholders name:

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Cardholders signature

Hotel type:
Room type:
Arrival date: Departure date: Nights