Hotel registration form
Society for Applied Philosophy “Annual Conference 2018” Block: 4109519 Hotel Rooms possible from June 28 until July 01, 2018 Please return this signed form before 17.05.2018 to: Hotel Mitland - Ariënslaan 1- 3573 PT– Utrecht by email:
[email protected] Reference: Block 4109519 Surname: Mr/Ms * ........................................................................................................................................... First name: ........................................................................................................................................................ Address: ............................................................................................................................................................ Telephone: ..................................................................... Fax: ........................................................................... E-mail: ............................................................................................................................................................... Arrival hotel ............... …… [ ]June 2018 at ........................ a.m./p.m.* Departure hotel ............... …… [ ]June or……..{ } July 2018 at ........................ a.m./p.m.* Credit Card no. .................................................................................. Expire date:* …………. [ ] Single Hotel Room (run of house) € 115.00 per night Surcharge extra person in the room: € 16,50 per day Prices are per night, including breakfast, excluding 5% city tax and excluding parking if applicable. When there is no availability left we will inform you a.s.a.p. Guests can use the swimming pool, sauna, Turkish steam bath and fitness for free. Free WIFI from KPN Hotspots is available in the whole hotel. Any cancellation must be made in writing no later than 48 hours before arrival, otherwise you will be charged for one night. The request will be definite when you received a confirmation from the hotel.
Date: Signature:
