<p> HOTEL RESERVATION FORM Classic Room</p><p>490 PLN +8% VAT 590 PLN + 8% VAT Group name : Forum GiGPer room per night Per room perDeadline night for the negotiated rate : 31.01.2018 queen-size bed queen-size bed LAST NAME: TITLE: Share name ……………………………………… FIRST NAME: MR/ MS: ADDRESS: CITY POSTAL CODE: COUNTRY: Executive 660 PLN +8%: VAT 760 PLN + 8% VAT RoomPHONE: Per room perFAX night: Per room perE-MAIL night: king-size bed king-size bed ………. or two separate beds ………….. Share name ………………………………………</p><p>Additional information : Twin rooms are only available in Executive category.. Breakfast is included in the rates</p><p>Arrival / Departure: Please advice:</p><p>DATE OF ARRIVAL: ( HOTEL check-in 15.00) DATE OF DEPARTURE: ( HOTEL check-out 12.00) NUMBER OF NIGHTS </p><p> Deadline for Hotel reservation is 31.01.2018 after this date reservations will be accepted on a rooms- available basis only  Terms of payment – by cash or credit card, directly in the Hotel.  Cancellation of room. The Guest shall bear the following costs referring to group reservation in case of decrease or an entire cancellation  no charge – for 45 or more days before the arrival  80% of the entire value of the reservation – for 14 - 44 days before the arrival,  100% of the entire value of the reservation – for less than 14 days before the arrival.  Any room reservation confirmed and guaranteed through Reservation Form, but not claimed on the day of arrival (no show) will be charged entirely in the amount of calculated room rate plus tax.</p><p>A GUARANTEE VIA CREDIT CARD IS REQUIRED .</p><p>CREDIT CARD DINERS EURO CARD/MASTERCARD AMEX VISA NUMBER: VALID UNTIL:</p><p>CREDIT CARD HOLDER NAME & HANDWRITTEN SIGNATURE KINDLY NOTE: IN ACCORDANCE TO THE CREDIT CARD COMPANIES REQUIREMENTS, FOR YOUR SECURITY PLEASE FILL IN THIS FORM AND RETURN COMPLETED TO US .ONLY VIA SECURE FAX NUMBER: + 48 22 55 11 837. . PLEASE DO NOT SEND CREDIT CARD DETAILS VIA E-MAIL. LET US INFORM YOU THAT FORMS SENT TO US BY E-MAIL WILL BE AUTOMATICALLY DELETED.</p><p>HOTEL CONFIRMATION</p><p>HOTEL CONFIRMATION NUMBER</p><p>DATA / SIGNATURE</p><p>Page 2 sur 2</p>