ETSI/FEMTOCELL PLUGFEST
Booking available from the 12th until the 22nd of February2012
Please, return this booking form to
Mercure Paris Plaza Pont Mirabeau****
10 avenue Emile Zola
75015 PARIS
Either by email to H2955@accor.com, or by fax to + 33 1 45 77 57 87
Your contact is: Kevin at + 33 1 45 77 72 00
This form should be sent before the
15th of December 2011
After this date, we will take the reservation with this preferred rate
only if we have availability.
Name:
First name:
Adress:
Telephone:
Fax:
E-mail:
Please make the following reservation: (Rate is per room, per night, including breakfast)
During the congress (from the 12th until 22nd of February 2012):
150€ week-days (Monday to Thursday), 120€ week-ends
___ x standard single rooms
Date of arrival: ___ / ___ / ___
Date of departure: ___ / ___ / ___
Please, provide your credit card number.
No reservation will be confirmed without a CC number
Visa American Express Eurocard Mastercard Diners
Name if the cardholder is different: _____________________________________
N° Expiration date: ___ / ___ / ___ CVC : ____
BON POUR ACCORD / SIGNATURE