CONFERENCE E-NVM

ACCOMMODATION FORM

To be sent before 15th of August 2013* to:

Office de Tourisme / Accommodation Congress Department

Les Allées Provençales – 300, avenue Giuseppe Verdi - 13100 Aix-en-Provence - FRANCE

Tel.: 00 33 (0)4.42.161.009 / Fax: 00 33 (0)4.42.161.179 / @mail:

*After this date, negotiated rates and availabilities are not guaranteed

*

Mrs o Ms o Mr o Last Name: First Name:

Company:

Address:

Zip Code: City: Country:

Tel: Fax:

@mail:

ARRIVAL DATE: ______/ 09 / 2013 DEPARTURE DATE: _____/ 10 / 2013

Hotel / Residence / Average rates
(Breakfast and local tax not included) / Your Choice(1 to 3) / Single(1 pers.)
/ Double(2 pers.)
/ Twin(2 lits)
ãã
2* Mozart / 63 € - 77 € / r / r / r
3* St. Christophe / 97 € - 126 € (breakfast included) / r / r / r
3* Rotonde / 104 € / r / r / r
4* Cézanne / 190 € - 210 € / r / r / r

Other hotels, apart hotels or bed&breakfast: on request

In order to guarantee your reservation, please communicate a credit card number with its expiration date.

r Visa r Eurocard Mastercard r American Express

Credit Card Number: ______/ ______/ ______/ ______/ Expiration Date: _____/ _____

Security Code: ______

CONFIRMATION:

Each attendant will receive a confirmation, specifying the booking conditions and the hotel address.

CANCELLATION CONDITIONS:

Requests for cancellation or date amendment must be sent by mail or fax directly to the booking centre.

Only cancellation requests received at least 48 hours before the arrival date will be taken into account. After this delay, the establishment is allowed to charge one night.

Date: Signature:

Office de Tourisme d'Aix en Provence – Service Hébergement Congrès

300 avenue Giuseppe Verdi – BP 160 – F- 13605 Aix en Provence cedex 1

T:+ 33 (0)4 42 16 1009–F:+ 33 (0)4 42 16 11 79 –

Siret: 417 889 128 00027 - IM: 013100069