HOTEL RESERVATION FORM

ROOM RESERVATION FORM
To be fax at following number: + 33 (0)4 50 09 33 33
L’IMPÉRIAL PALACE, Allée de l’Impérial, 74000 Annecy (France)
Attn : Reservation Department
Tel : +33 (0)4 50 09 31 20
Or per email: [email protected]
Meeting Name: Computing in Atmospheric Sciences Workshop
From September 12th-17th, 2015
Please note the night of Thursday 17th will be on request only
PLEASE BOOK BEFORE JUNE 15th, 2015
Double room at single use B&B: 210 EUR/night (instead of 325/465 EUR)
Double room B&B:
230 EUR/night (instead of 325/465 EUR)
NAME / FIRST NAME :____________________________________________
ADDRESS: _____________________________________________________
_______________________________________________________________
COUNTRY :_____________________________________________________
Phone :___________________________Fax :__________________________
Email :_________________________________________________________
ARRIVAL DATE : ______________ DEPARTURE DATE : _______________
1 Double room at single use: (
) or 1 double room : (
)
Deposit: one night will be debited from your credit card as confirmation.
One night charge in case of no-show or cancellation after June 15th,2015
Card Holder:
_________________________________________________
Type and card number:
_________________________________________________
Expiry date:
_________________________________________________
3 digit card verification # (on back of the card) _________________________________
Signature for approval on the conditions & authorization to debit the card:
Date :
Booking is according to availability – No booking can be accepted
without credit card details and authorization to debit the card
HÔTEL . RESTAURANTS . CASINO . CENTRE DE CONGRÈS
Allée de l’Impérial . 74000 Annecy . France . Tel. : +33 (0)4 50 09 30 00 . Fax : +33 (0)4 50 09 33 33
[email protected]. www.hotel-imperialpalace.fr
L'IMPERIAL PALACE . SAS au capital de 1 764 630 € . APE 5610 A
N° de TVA Intracommunautaire FR 53 343 925 574 . RCS Annecy SIRET 343 925 574 00018