<p>Clarion Congress Hotel Prague**** Freyova 33, CZ – 190 OO, Praha 9 – Vysočany tel.: +420 211 131 118, fax: +420 211 131 402 www.cchp.cz BOOKING FORM </p><p>To: Reservation Department E-Mail: [email protected] Fax: +420 211 131 402, Phone: +420 211 131 118 Ref: SCES 2017 Dates: 16.-22.7.2017 Early bird rates secured on bookings before 16.5.2017: Standard Single/Double Room 2.380 CZK (approx. 85 EUR) Executive Single/Double Room 3.220 CZK (approx. 115 EUR)</p><p>Rate includes Buffet Breakfast, Internet connection, all local taxes and 15% VAT. One night non-refundable deposit is required for bookings with Early bird rate.</p><p>Special rates secured on bookings from 17.5.2017: Standard Single/Double Room 2.660 CZK (approx. 95 EUR) Executive Single/Double Room 3.500 CZK (approx. 125 EUR)</p><p>Rate includes Buffet Breakfast, Internet connection, all local taxes and 15% VAT.</p><p>Terms & Conditions: All reservations must be guaranteed with a credit card number authorizing the Hotel to charge as per cancellation policy outlined below. </p><p>The above special room rates apply only to bookings secured before 30 days to arrival and any reservations received after this date shall be accepted “subject to availability” at these rates.</p><p>Cancellation Policy: Cancellation fee equal to the full stay will be applied on the individual’s credit card for any cancellation made from 6:00 p.m. 2 days prior to the arrival or any No Show on the day of check-in.</p><p>One night non-refundable deposit is required for bookings with Early bird rate.</p><p>NAME: SURNAME: </p><p>ARRIVAL DATE: DEPARTURE DATE: NUMBER OF ROOMS: TYPE OF ROOM: STANDARD SINGLE [ ] STANDARD DOUBLE [ ] </p><p>EXECUTIVE SINGLE [ ] EXECUTIVE DOUBLE [ ] </p><p>Please select the Way of payment: Bank Transfer Credit Card </p><p>DetailsCompany telephone/fax: </p><p>Company name & Address:</p><p>Credit Card Details </p><p>*A valid credit card must be used to guarantee the reservation.</p><p>CARD TYPE: AMEX [ ] MASTERCARD [ ] VISA [ ] DINERS [ ]</p><p>Card Number: Expiration: </p><p>Signature:</p>