/ KARISIMBIHotel
Plot 712, Rue de Bugarama/Rue des Parcs, Kiyovu,P.O.Box 3960 KIGALI, Rwanda.
SPLENDID KARISIMBI LTD
RC A 1750 Kigali - BANQUE DE KIGALI Cpte 0280360 - 63
TVA 100150433
Tel: +250783357561 / 250733335551

ID4Africa 2016, 24-26 May

Individual Booking Form for the KARISIMBIHotel

DELEGATE INFORMATION(please complete all fields in CAPITAL letters, fields marked with an “*” are required)
q Dr qMr qMrs q Ms
Family name*:……………………… / First Name*:…......
Phone:…………… / Fax:…………………………………………………..
Arrival Date:… / Arrival Time:………...... / Flight No:.……………………………………………
Departure Date*: / Departure Time:………….... / Flight No:…………………………………………….
Special Requests: q Non Smoking q Smoking
Estimated Arrival Time: ______
ACCOMMODATION
Room Type / Room Rate/night
One King Size Bed / Two Single Beds
Single/ Double/ Twin room / qSingle US$130.00 nettqDouble/Twin US$130.00 nett
·  The preferential rates are inclusive of tax
·  Breakfast included
·  Free WIFI
In order to guarantee your reservation at the above mentioned hotel, please indicate your Credit card no. below :
Credit card expiry date : (mm/yy)
Cardholder’s Name (as it appears on the credit card): ______
Type: □ Visa / □ Master Card / □ American Express
Date:______Signature:______

**Note:

1.  Reservation is open with no exception and held responsible individually.

2.  The credit card number is for guarantee purposes only.

3.  The hotel bill must be settled on an individual basis upon checking in of the hotel.

4.  100% room rate will be charged if NO-SHOW or notification of cancellation less than 24 hours prior to arrival day.

AIRPORT TRANSFER

From airport to hotel: USD 20.00 (Hotel Shuttle Service), or USD 50.00 (Luxury car service)

From hotel to airport: USD 20.00 (Hotel Shuttle Service), or USD 50.00 (Luxury car service)

Attention: the booking form send to: Emmanuel K Hakizimana ( )

MUST COPY TO and

APPROVED BY EMMANUEL K HAKIZIMANA

FRONT OFFICE MANAGER