Hotel Reservation Form
Transcription
Hotel Reservation Form
Hotel Reservation Form Please fill in this form and return it to the hotel of your choice by fax or email no later than April 24, 2014. First name: Tel: Last name: Fax: E-mail: ☐ Maritim Parkhotel Mannheim ☐ Booking Code: Stochmod (84 € Single / 115 € Double) 10 minutes 15 minutes Friedrichsplatz 2 68165 Mannheim Tel: +49 (0) 621 1588-834 Fax: +49 (0) 621 1588-800 [email protected] www.Stochmod2014.de/Maritim Kurpfalzstuben Booking Code: Stochmod (65 € Single / 85 € Double) 10 minutes 10 minutes L14, 15 68161 Mannheim Tel: +49 (0) 621 150392-0 Fax: +49 (0) 621 150392-90 [email protected] www.Stochmod2014.de/Kurpfalz ☐ Zur Alten Brücke Booking Code: Stochmod (119 € Single / 139 € Double) 45 minutes Obere Neckarstrasse 2 69117 Heidelberg Tel: +49 (0) 6221 73913-0 Fax: +49 (0) 6221 73913-20 [email protected] www.Stochmod2014.de/AlteBruecke Room rates are per night incl. breakfast and are subject to change without notice. Please note that all rooms are non-smoking and will be allocated on a first-come, first-served basis. ☐ Single room Room type Arrival date Departure date ☐ Double room Approx. arrival time Approx. departure time To confirm and guarantee your reservation, we kindly ask you to fill in your credit card information. Please note that your invoice must be settled upon departure. ☐ Mastercard Card no.: Signature: ☐ Visa ☐ American Express ☐ Other: Expiry date: Security no.: