RESERVATION FORM EMWA CONFERENCE from November, 6th 2014 to November 8th 2014 Attendee’s last name and name: _________________________________________________________ e-mail: _________________________________________________________ (please write in capital letters) Check-in date:_ _/_ _/_ _ _ _ Check-out date: _ _/_ _/_ _ _ _ N. of rooms: ______________________ Double single Use room Double room Twin room Triple room Accompanying name: _______________________ Accompanying name: _______________________ Special requests (to be confirmed by the hotel according to availability):________________________________________ Room rates: Double room for Single Use: Twin/Double Room: € 125,00 € 148,00 Above mentioned rates are intended per room per night. Rates are inclusive of buffet breakfast and VAT (10%). City tax of € 4.00 per person per night not included. City tax quote and VAT Percentage here mentioned correspond to the valid currently quote/aliquot in use. In case of an increase or decrease of it, City Tax quote and Room Amount here mentioned will change accordingly. These special rates are dedicated to EMWA CONFERENCE from November, 6th 2014 to November 8th 2014 event attendees only. These Special Rates are applicable also for PRE and POST stay. ____________________________________________________________________________________ GUARANTEES AND PAYMENT: Attendees can confirm for their reservations with • Credit card details (guarantee only, no advance charge – direct payment at check-out): Credit card number:________________________________________ Expiration date:______________ Cardholder name:_____________________________________________________________________ Owner’s signature:____________________________________________________________________ • Full prepayment with bank transfer (Please be so kind as to put the attendee/s name/s on the bank transfer reference and provide hotel with a copy via e-mail or fax): GRAND HOTEL MEDITERRANEO BANK NAME: Cassa di Risparmio di Firenze Agenzia 5 IBAN: IT51T0616002805000003079C00 SWIFT: CR FI IT 3F XXX CANCELLATION POLICY: Reservation can be cancelled without penalty up to 7 days prior to arrival. Cancellations out of the mentioned terms will be charged with 100% penalty as well as NoShows. IMPORTANT: • This reservation form must be sent within September, 29th 2014. After this date, availability of rooms is not guaranteed. • Please be so kind to send this form by e-mail to [email protected] or by fax +39 055 679560 • Please fill one form per room needed. . Lungarno del Tempio 44 50121 Firenze Tel. +39 055 660241 Fax. +39 055 679560 Sito Internet: iwww..hotelmediterraneo.com email: [email protected] Di proprietà Montecarlo Immobiliare SpA Sede Legal Lungarno del Tempio 44 50121 Firenze Capitale Sociale euro 1.000.000 C.C.I.A.A di Firenze CF P.Iva ed Iscrizione Registro Imprese: 00434210480