NB: This information is strictly confidential and

EPO Special Hotel Selection
Hotel reservation request form
Please use the TAB-function to go from box to box. Save this form and send it as a Word attachment to
[email protected] or [email protected] (see further address information at the bottom!).
Passenger data:
Surname
1
2
1st name (in full) as in passport
M/F
Company/EPO Site
Telephone
Fax
E-mail
Hotel choice:
Hotel name (1st choice)
Hotel name (2nd choice)
Arrival & departure:
Arrival date (dd/mm/yyyy)
Arrival time (AM/PM)
Departure date
Room selection:
Roomtype
Number of persons
Smoking / non-smoking
Remarks:
1
2
Credit card information ( Compulsory) (for hotel guarantee)
Card number
Expiry date
Name card holder
Return this form to BCD Travel – in-house travel agency either:
The Hague
Email address
Fax number
Contact
Telephone number
Munich
: [email protected]
: +31 (0)20 – 796 5296
: +31 (0)70 – 340 4970/1
Email address
Fax number
Contact
Telephone number
: [email protected]
: +49 (0)89 2399 6957
: +49 (0) 89 2399 67 57
EPO Special Hotel Selection
To be filled in by hotel
Confirmed
Reservation number
Rate
Breakfast
Cancellation deadline
Reservation made by
Yes / No
Included / Not included