30th Annual Congress IAREP - Prague, Czech Republic, September 21.-24.,2005
,, ABSURDITY IN THE ECONOMY,,
PLEASE, POST HOTEL BOOKING FORM TO ADDRESS:
Jerome Travel, V Jirchářích 13, Prague 1, 110 00, Czech Republic
OR FAX IT TO:
Jerome Travel, 00420 224 934 342, 00420 224 933 206
Prices and accommodation is guaranteed only in case of booking till 25.6.2005 over Jerome Travel
BOOKING FORM
TOP HOTEL & Congress Centre****
- Blažimská 1781/4, Prague 4
1/ Name
……………………………………………………………………………
2/ Name of accompanying person
……………………………………………………………………………
3) Full mailing address
……………………………………………………………………………
……………………………………………………………………………
4/ Phone number
…………………...………………………
5/Fax number……………………………………
……………………………………………….…………………….
6/ E-mail
Date of arrival
……………………………………………………………………………
Date of departure
……………………………………………………………………………
Type of the room: *please remark the room you have chosen with letter ,, X,,
1/ single room
…………………… Price: 75,- Euro/ night
2/ *double room
…………………… Price: 85,- Euro/night
3/ *twin room
…………………… Price: 85,- Euro/night
3/ *triple room
…………………… Price: 90,- Euro/night
- for the rooms remarked with ,,X,, please, fill up all details of the person you want to share the room with!!!
Accompanying person details:
1/ Name
……………………………………………………………………………
2/ Full mailing address
……………………………………………………………………………
……………………………………………………………………………
3/ Phone number…………………………………………4/ Fax number………………………………
5/ E-mail
……………………………………………………………………………
Meals requirements: Vegetarian – Gluten Free - Other: ……………………………….
Notes/ please give any necessary comments:…………………………………………………………………………
Full deposit or credit card details (we accept only Mastercard, Visa, not American Express) must be sent by the
congress participant at the time of hotel booking.
CREDIT CARD DETAILS
1/ type of credit card……………………..……………………………………..
2/ number of credit card…………………. ……………………………………3/ expired dates………………………………
Account details:
HVB BANK CZECH REPUBLIC, a.s.
Jerome Travel, s.r.o., V Jirchářích 13, Prague 1
IBAN: CZ6227000000000800920016
Banis- 2007
SWIFT- BACX CZ PP
EURO ACCOUNT NUMBER: 800920016/2700