Please Complete This Form in Block Letters and Return to Academservice by E-Mail

Transfer reservation form

Please complete this form in block letters and return to Academservice by e-mail:

or by fax: +7 (495) 662-43-52 before 15 June 2009

1. PERSONAL INFORMATION (please fill in)
Family name
First name
Phone (incl. country and area)
Fax
E-mail
Arrival date
Arrival time
Flight number / Family name
Firstname
Phone (incl. country and area)
Fax
E-mail
Departuredate
Departure time
Flight number
2. INDIVIDUAL TRANSFERS - please mark with a cross where applicable and indicate number of people for transfers

Type of transport

Max seats

/ Arrival transfer, RUR (incl. VAT 18%) / Departure transfer, RUR (incl. VAT 18%) / Number of people
Car (economy class) / 3 / 1900 / 1900
Car (business class) / 3 / 2000 / 2000
Car (business plus class) / 3 / 3050 / 3050
Minivan / 10 / 3000 / 3000

Prices are given in Russian Roubles per car or minivan

Comments: Waiting time: airports – 2 hours after the scheduled time of plane landing

railway stations– 1 hour after the scheduled time of train arrival,

hotels – 1 hour after the ordered time

In case the client does not arrive for transfer by the time stipulated above the order is considered to be completed. According to the client’s approval the waiting time can be extended. Every extra hour is paid additionally. In case, flight's delay, please inform us in advance.

3. TERMS OF CANCELLATION

Cancellation can be made without penalties no later than 19 June 2009.

Cancellation made after 19 June 2009 is subject to cancellation equal to 100 cost of ordered transfers.

4. TERMS AND METHODS OF PAYMENT

100% Prepayment for ordered transfers is required at the moment of booking

Payment can be made by Credit Card in RUR or by Bank transfer in RUR, USD and EUR.

Final confirmation voucher will be sent by Academservice upon 100% prepayment

Transfer will be provided only on presenting the voucher from Academservice

Please mark with a cross how you wish to settle the payment

BY CREDIT CARD

Please debit my VISA /MASTERCARD/EUROCARD/DINERS CLUB/JCB (circle where applicable)

(AMERICAN EXPRESS and VISA ELECTRON are not accepted )

Number

CVV

Expiry date

Name and normal billing address of card holder

CREDIT CARD WILL BE CHARGED ONLY IN RUSSIAN ROUBLES.

A photocopy of both sides of the credit card must be attached.

I confirm that I am acquainted with cancellation policy (No Show, Early Arrival, Late Departure) and agree with it.

Cardholder’s signatureDate

Total RUR______

BY BANK TRANSFER (bank fees at participant’s charge)

Please mark with cross a currency you wish to settle the payment
RUR USD EUR EUR

Please complete this form in block letters and return to Academservice before 15 June 2009

Academservice, tel.7(495)660-90-90, ext 1202; Fax:7(495)662-43-52; e-mail:

Address: 28a Shipilovskaya Str., 115563, Moscow, Russia