HOTEL BOOKING FORM Hotel Włoski Business ul. Dolna Wilda 8, PL 61-552 Poznań – Tel.: +48 61 833-52-62 E-Mail:info@hotelwloski.pl; Internet: www.hotelwlsoki.pl ►Fax: +48 61-833-52-61 REFERENCE „IGU2014“: Madam/Sir, Please make the following booking for me: Arrival date: __________________ Departure date: __________________ Kind of room: __________________ (single or double room, number) Price De Lux single or double room: 279,00 PLN / Price Superior single or double room: 379,00 PLN / breakfast for 1 person: 29 PLN / parking: 29 PLN (Price per night and room, Internet, access coffee, tea and water for VAT included) GUEST: First Name: Family Name: Company / Address: _______________________ _______________________ _____________________________________________ _____________________________________________ _____________________________________________ Credit Card (is only required to guarantee your booking): Card No: ___________________________ Cardholder Name: ___________________________ Expiry date: _________ (Note of the Hotel: The booking will only be valid if all the details of a credit card are communicated. Free cancellation of the hotel booking is possible until two days before the planned arrival. In case of no show or cancellation after this deadline, Hotel will charge you for the first night of your stay.) Please send a confirmation of the booking to the following Fax No/E-mail address: Contact: Phone: Fax: E-mail: ____________________________________ ____________________________________ ____________________________________ ____________________________________ Thank you very much. Yours faithfully. Date, company’s stamp, signature