Hotel reservation form Hilton Gdansk To be returned by e-mail to
[email protected] before May 15 specifying SIROCCO 2011 in the subject line. The reservation is subject to availability and only valid after confirmation by the hotel. The conference organizers are not a party to the reservation process.
Guest’s first name: Check-in date:
Last name: - 06-2011
Check-out date:
(dd-mm-yyyy)
Room type Patio-view room - single use Patio-view room - double use River-view room - single use River-view room - double use
-2011
Total nights:
(dd-mm-yyyy)
( nightly rate) 402 PLN 465 PLN 552 PLN 615 PLN
Special requests (subject to availability): queen-size bed
-
2 beds
smoking
non-smoking
other:
I authorize the hotel to charge the entire payment for the stay from the credit card below. Total (PLN):
Date:
Signature:
Cardholder’s name: Credit card number: Expiry date mm/yy:
/
Visa
MasterCard
American Express
The reservation is non-refundable and subject to the hotel’s policies. The credit card may be pre-authorized with the payment for the stay directly after reservation. Hilton Gdansk ul. Targ Rybny 1, 80-838 Gdansk, Poland Tel: +48 587787100 Fax: +48 587787300
[email protected]
