Form B: Hotel Booking
FSC BUSINESS FORUM CIS REGION, 17th – 18th AUGUST 2015
Saint Petersburg, Russia
In order to book a room at the Corinthia Petersburg Hotel at a special rate offered.
Please complete the details below and send the scanned form to the attention as per
below address.
Anna Chechuinova/ Nina Morigerovskaya: +7 812 380-20-01, ext. 143/270
E-mail: anna.cheshuinova@corinthia.com / nina.morigerovskaya@corinthia.com
Family name
First name
Phone / Fax:
e-mail:
Arrival date:
Departure date:
Passport N:
Date of birth:
Citizenship:
Payment:
Credit Card:
N
Ο AMEX
Ο VISA
Ο Master Card
Ο
Diners Club
Exp.
Other (please specify):
Please, tick/ check the room type you require:
Superior Room:
Ο single occupancy 7 100 RUR
Ο double occupancy 8 600 RUR
Rates are per room per night, include buffet breakfast and include VAT (currently 18%).
Hereby I agree that in case of a late cancellation received in the periods mentioned
below the following price will be charged to my credit card:
Room cancelled after 14th August – 100% charge for the first night.
Signature
Date