ESS'2001 Hotel- Fax Reservation Form

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ESS'2001

HOTEL FAX RESERVATION FORM

Hotel Mercure Marseille Euro Centre
1 Rue Neuve St.Martin
F- 13001 Marseille, France
Tel : +33.4.96.17.22.22
Fax: +33.4.96.17.22.33
email: H1148@accor-hotels.com

Please legibly print or type and fill out completely.

LAST NAME
FIRST NAME		M.I.
COMPANY OR AFFILIATION
Mailing address (tick one): [ ] HOME [ ] BUSINESS
STREET
CITY
ZIPCODE	COUNTRY
TELEPHONE	FAX
E-MAIL
DATE	SIGNATURE

HOTEL RESERVATION FORM (Check appropriate boxes)
1. [ ] I wish to book ____ single standard room(s) at 530,00 FF/night (80,80 EURO)	TOTAL ___________ FF
2. [ ] I wish to book ____ double standard room(s) at 530,00 FF/night (80,80 EURO)	TOTAL ___________ FF
3. [ ] I wish to book ____ club room(s) at 650,00 FF/night (99,09 EURO)	TOTAL ___________ FF
4. From ____day October ____ to ____day October____
TOTAL AMOUNT DUE	___________ FF
TOTAL AMOUNT REMITTED : (1 NIGHT DEPOSIT)	___________ FF

	* Breakfast is at 65.00 FF/day (not included in the room price). (9,91 EURO) (City Tax = 6 FF/person/day (0,91 EURO)
	In order to guarantee your room reservation a one night deposit is requested, which can be done by charging your credit card
	Charge my (tick one): [ ]Visa [ ] Euro/Mastercard [ ] American Express [ ]Diners CARD NO: __ __ __ __ : __ __ __ __ : __ __ __ __ : __ __ __ __ EXP.DATE: __ __ / __ __
	Authorizing Signature: PRINT SIGNATURE: __________________________________________