Hotel Accommodation

Please, print this form, fill it in capital letters and send it to:
Cut here...


NAME:___________________ SURNAME:__________________________________ MAIL ADDRESS:________________________________ CITY:________________ POSTAL CODE: ___________ STATE: ______________ COUNTRY:____________
TELEPHONE:______________ FAX: _____________ E-MAIL: _______________


HOTEL INFORMATION:

HOTEL: DOUBLE ROOM DOUBLE For Single Use
HUSA PRINCESA HOTEL ***** 19.367 Ptas. 18.297 Ptas.
MONCLOA GARDEN HOTEL *** 13.450 Ptas. 11.150 Ptas.
Rates per room, per night, breakfast and tax included.

Please Reserve:
Double Room Double for single use room



Arrival day: ________________ Departure day: ___________ Number of nights: ______

(A) First night Deposit as reservation guaranty.............. __________ Ptas.

SOCIAL PROGRAM INFORMATION:

(B) TOTAL EXCURSIONS...................................................................._______ Ptas.

FORM OF PAYMENT

Please charge to my credit card: VISA AMERICAN EXPRESS DINERS

Enclosed Certified banck check number_______________, in the amount of (A+B) _________ Pesetas, payable to CARLSON WAGONLIT TRAVEL and issued in a bank with a Branch in Madrid.
(Personal cheques are not accepted)




Signature:___________________________ Date: ________________________