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HOTEL ACCOMMODATION REGISTRATION FORM - fresh

HOTEL ACCOMMODATION REGISTRATION FORM - fresh

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<strong>HOTEL</strong> <strong>ACCOMMODATION</strong> <strong>REGISTRATION</strong> <strong>FORM</strong><br />

CORINTHIA <strong>HOTEL</strong> ST. PETERSBURG<br />

Arrival Date: Departure Date:<br />

Special group tariffs have been negotiated.<br />

Please indicate your choice of accommodation and date of ARRIVAL and DEPARTURE.<br />

Please forward the completed form to:<br />

Natalia Agafonova<br />

Corinthia Hotel St. Petersburg<br />

Nevskij 57<br />

St. Petersburg 191025<br />

Russia<br />

Please indicate your choice of room:<br />

SUPERIOR ROOM<br />

EUR190 per room per night, Bed and Breakfast<br />

Single Room Double Room<br />

Smoking Non-smoking<br />

Tel: +7 812 380 2001<br />

Fax: +7 812 275 1153<br />

Email: nagafonova@corinthia.ru or<br />

reservations@corinthia.ru<br />

n The above rates quoted are per room, per night and include a buffet breakfast.<br />

n The rates include 18% VAT, but exclude other local taxes.<br />

n Please note that check-in is at 14:00 and check-out is at 12:00 on day of departure. Half-day rates apply<br />

for extended stays up to 18:00, subject to availability on the day of departure. If a late check-out is required, we<br />

recommend that this is arranged at the time of reservation.<br />

n Any delegates wishing to extend their stay before or after the conference, will be entitled to the same rates,<br />

subject to availability.<br />

CANCELLATION POLICY<br />

Please note that the following cancellation fees will apply for cancellations made during the periods mentioned<br />

below:<br />

n Rooms cancelled between 12/03/10 - 05/04/10 - 100% for one night will be charged<br />

n Rooms cancelled between 06/04/10 - 12/04/10 - 100% for whole stay will be charged


NAME<br />

Title:<br />

First Name:<br />

Surname:<br />

CONTACT DETAILS<br />

Address:<br />

Telephone (work): Fax:<br />

Postal Code:<br />

Email:<br />

FLIGHT DETAILS<br />

Date Of Arrival:<br />

Flight Number:<br />

Time:<br />

Passport Number:<br />

Nationality:<br />

The above preferential rates expire on 12 March 2010 and cannot be guaranteed after this date.<br />

To secure your reservation, we require your credit card details or full pre-payment.<br />

CREDIT CARD<br />

Visa Masters Diners Amex<br />

Card No:<br />

Expiry date: CVC number: (3 digits on back)<br />

Cheques are not accepted<br />

SIGNATURE<br />

DATE<br />

NAME SHARING<br />

Title:<br />

First Name:<br />

Surname:<br />

Date Of Departure:<br />

Flight Number:<br />

Time:<br />

Passport Expiry Date:<br />

DO YOU NEED TRANSPORT FROM THE AIRPORT TO THE <strong>HOTEL</strong>? YES NO<br />

If yes, your hotel accommodation account will automatically be debited with the amount of EUR70.00.00 one-way transfer for<br />

three people.<br />

Please complete this form by 12 March 2010 and return directly to Natalia Agafonova<br />

BANk TRANSFER<br />

Bank: ZAO Raiffeisenbank<br />

Branch: St. Petersburg<br />

Branch code: RZBMRUMM<br />

Account number: 40807978803000300519

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