Accommodation booking in Hotel ILF ***

Prague Sympozium on Congenital Heart Disease, 05.12.2011 - 06.12.2011

Hotel ILF ***
Budějovická 15/743
140 00, Praha 4 - Michle
Reservations: tel.: +420 261 092 370, fax: +420 261 261 846
Reception: tel.: +420 261 092 333, fax: +420 261 261 860
e-mail booking@hotel-ilf.cz; www.hotel-ilf.cz

Please, send this form to the Reservation department Hotel ILF till the 4^th November 2011.

* indicates required fields

Personal data

Surname, name, degree:	*
Postal address:	*
ID/passport number:	*
Telephone/fax:
Mobile phone:
E-mail:	*
Male
Female
Národnost:
Dietary needs:

Accommodation registration

Accomodation dates:
2. 12. 2011
3. 12. 2011
4. 12. 2011
5. 12. 2011
6. 12. 2011
7. 12. 2011

Type of accommodation:
single room (1 person) - 1.000,- CZK per night (ca 43,- EUR)	*
double room (2 persons) - 1.400,- CZK per night (ca 60,- EUR)	*
1 bed in double room (1 person) - 700,- CZK per night (ca 30,- EUR)	*
To be shared with:
The price for accomondation includes breakfast and Vat.

Payment

by credit card (must be valid at least until 1/2012)
Number:
Expiration Date:
Please charge my credit card:
Diners
Visa
MC/EC
American Expres
Obligation is payment for first night! In case of no arrival (and no cancellation in a due time - 48 hours before arrival) the first night will be charged. Reservation is valid after confirmation by reservation department.

Any changes, please send in writing to the hotel reception. Confirmation of your booking you will receive directly the hotel reception.

Accommodation booking in Hotel ILF ***

Accomodation dates:

Type of accommodation:

Please charge my credit card: