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ESS'2001

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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: __________________________________________


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