Formulaire De Reservation D Hotel

VICH 4 Conference – “VICH Impact and future expectations”

ACCOMMODATION BOOKING FORM

NOTICE - All hotel reservations must be made through the “Centrale Hôtelière Élysées Hôtels” - Please provide ELYSEES HOTELS with all the required information to ensure a valid reservation. The credit card number can guarantee your reservation. - The VICH Secretariat is not responsible for the reservations. In case of questions related with your accommodation reservation, please contact Élysées Hôtels directly.

Please return your booking request to ELYSEES HOTELS by May 31, 2010 at the very latest. Contact: Angelo Correia ([email protected]) (Hours: 9h - 19h from Monday to Friday) - Tél : (33) 1 47 75 40 86 - Fax : (33) 1 47 75 92 99

In reply ÉLYSÉES WEST RESERVATIONS will automatically send you confirmation with the full address of the hotel booked. To cancel or modify your reservation, please contact EWR by fax or by e-mail. In the event of failure to take up the reservation, the hotel will charge you for the first night.

Name: First name: Organisation: Country: Tel: Fax: Email:

Date of arrival: Date of departure: Number of rooms: Number of people: Number of nights: Credit card #: Card type: Expiration date:

ROOM  Single  Double  Twin

DISTRICT  OIE area  Opera area  Latin quarter

RATES PER NIGHT  80 to 100 euros  101 to 120 euros  more than 121 euros

Please refer to the list of hotels mentioned in the Conference General Information - If you have a preferred hotel, please give the name and address:

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MODIFICATION / CANCELLATION Cancellations made 3 days or more before the arrival date: no charge. Cancellations made less than 72 hours before arrival will incur a charge equivalent to the room rate for 1 night. All changes must be made directly with ÉLYSÉES HOTELS and not the hotel. Modification/cancellation is taken into account only if it is written on a paper (letter, fax) or sent by e-mail.