Hotel Villa Carlotta

HOTEL RESERVATION FORM
THERMINIC CONFERENCE September 2005

Deadline of reservation: 05 August 2005. After this date reservation accommodation will be confirmed only upon Hotel availability.
Cancellation policy: One night deposit to guarantee the room. Reservation will not be accepted without credit card information. Cancellation without penalty by 17.09.2005
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Room Type Arrival date Departure date Number of Nights
       
Rates: VAT 10% included
Bed and breakfast accommodation rate in SINGLE-ROOM, per night
Bed and breakfast accommodation rate in DOUBLE-ROOM, per person per night
85,00 €
65,00 €
Use BLOCK CAPITALS
Last(Familly) Name: _____________________________________________________________
First (Given) Name: _____________________________________________________________
Organisation: _____________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________
Country: _____________________________________________________________
Tel. N°: __________________________ Fax N°: __________________________
E-mail: _________________________________________________________

Credit card type: ______________________________-
Credit Card N°:
                               
Expiry Date:
       

Name of Cardholder:   . . . . . . . . . . . . . . . . . . . . . . . . .   Total:   . . . . . . . . . . . .   €
 
Date / Signature:

Shuttle from/to Malpensa Airport:
(Please write on this form arrival time-date-flight number)
.
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The form is to be returned to:
HOTEL VILLA CARLOTTA
Via Mazzini, 121-125
28832 BELGIRATE (VB) ITALY

Tel.: +39 0322 76 461
Fax: +39 0322 76 705
E-mail