Hôtel Lutetia Paris - Vertigo

1 authorize the Hotel Concorde La Fayette to charge the following credit card ... The room reservations must be made via this reservation form before April 13th ...
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Hôtel Lutétia Paris Rive-Gauche 44e SYMPOSIUM SIO - VESTIBULE ET CORTEX REF : 996254 th

Reservation from 10 Veuillez réserver une chambre: 0 Classic Single Room 0 Classic Double Room

0 Single

May 2010 to 17th May 2010 0 Double

0 Twin

EUR 220 per room, per night EUR 230 per room, per night Buffet Breakfast included Tax per person and per day included

ARRIVAL DATE: .................................... ......................................... rime of ArrivaI: ....................................... {from 3PM) DEPARTURE DATE: ; ............................: ............................................................... ..................... (Checkout by 12 noon) LAST NAME : ......................................... .................................. FIRST NAME : ................................................................ . COMPANY NAME 1 INSTITUTION : ..... .......................................................... ................................................................. . ADDRESS: ............................................. .......................................................... ................................................................. . PHONE NUMBER : ................................ ............................. FAX: ..................................................................................... . EMAIL: .................................................... ............................. ...............................................................................................

1 authorize the Hotel Concorde La Fayette to charge the following credit card number according to the reservation and cancellation policies below : CREDIT CARD & NUMBER : ............................................................................ ..................................EXP.: ......... 1 ...... . HOLDER NAME : ........................................................................ SIGNATURE: .......................................... ............ ...... . Conditions of reservation: • The room reservations must be made via this reservation form before April 13th 2010 and must be sent directly to the hote!. • Each reservation must be guaranteed by a credit card number with expiration date. Without credit card information, no booking will be confirmed. Billing instructions: x Room, breakfast and incidentals will be paid by each participant. x A prepayment of the booking will be charged on the credit card on Aprll 14th 2010 x Incidentals will be paid by each participant upon check out Cancellation policy: x Any cancellation impacting the reservation will not be charged until April 13th 2010 . xFrom April 14th 2010, total prepayment will be kept as cancellation fees (partial or total cancellation) Release date: • From April 14th 2010, available rooms will be released. Any new request will be subject upon availability of the hote!. Il!! Please note that you can return this form until April 13th 2010. After this date, rooms will be upon hotel availability and rate will not be guaranteed !!!! Il!! 30 rooms only are available at this rate !!!!

Emmanuelle Lebeau Coordinatrice Banquet Hôtel Lutétia 45 boulevard Raspail 75006 Paris-France Tel: 00331 49544646 Fax: 0033 1 49 54 46 64 [email protected]