Hotel Metropole Registration Form

HOTEL METROPOLE REGISTRATION FORM

Please return this reservation by fax before: September 15th 2006 To : Reservations Supervisor Hotel Métropole, Brussels Fax : + 32 / 2 / 218 02 40

Booking Code : EIASM November 2006

Please make the following reservation :

ARRIVAL DAY : 2006 DEPARTURE DAY : 2006

Number of nights: ….

PLEASE TICK THE APPROPRIATE BOXES

 Deluxe Single room at € 139,-/ night  Deluxe Double room at € 169,-/ night  Privilege Single room at € 169,-/ night  Privilege Double room at € 199,-/ night

All above room rates include buffet breakfast or continental breakfast served in room, taxes & service charges

Credit card guarantee is required in case of a no – show, the first night will be charged! Credit Card Number :……………………… Expiry Date : …………………….

Signature & date :………………………………………………………

Last Name : ………………………………………….

First Name :……………………………………………

Company : …………………………………………..

Postal address : …………………………………………..

E-mail :……………………………………………

Tel Number :……………………………………………

Fax Number :…………………………………………..

Name of the accompanying person : …………………………………….. Deadline : September 15 th 2006

After this date the hotel will not be able to guarantee availability and reservations will be made on a space and rate availability basis.