Crowne Plaza Brugge Burg 10 - 8000 Brugge, Belgium tel +32 50 44 68 44 fax +32 50 44 68 68 http://www.cpbrugge.com e-mail: [email protected] CEEES MEETING 03rd – 4th of March 2016 HOTEL REGISTRATION FORM Please fax or mail this form to Mrs. Ann Van Aelst (reservation supervisor) before, 17th of February 2016 Name First name Address Phone Fax E-mail Passport number Credit card number Expiry date Arrival date Departure date Number of nights Single room or double room : ………………………………………………………………... : ………………………………………………………………... : ………………………………………………………………… : ………………………………………………………………... : ………………………………………………………………... : ………………………………………………………………... : .……………………………………………………………….. : ………………………………………………………………... : ………………………………………………………………... : ………………………………………………………………... : ………………………………………………………………... : ………………………………………………………………... : ………………………………………………………………... Number of persons in the room : ………………………………………………………………... A request can only be confirmed by the hotel with a complete registration form as mentioned here above. If you do not receive a confirmation letter from the hotel, no room is reserved. A reservation can be cancelled without any charges until 14 prior to the arrival date. If you cancel your reservation between 0-14 days prior to the arrival date, the first night charge will apply as a cancellation fee. Room rates (including buffet breakfast, VAT and service charges) € 135.00 per single room per night, excluding € 2.12 city tax per person, per night € 159.00 per double room per night, excluding € 2.12 city tax per person, per night Supplement front room : € 25,00 per room per night Supplement junior suite : € 140,00 per junior suite per night I, Mr. / Mrs. reservation , agree with the above mentioned conditions for this SIGNATURE FOR AGREEMENT & CREDIT CARD APPROVAL: DATE: This hotel is owned by NV Burghotel and operated under license from Six Continents Hotels, Inc. NV Burghotel – Maria van Bourgondiëlaan 28 – 8000 Brugge Belgium – RPR 0427.540.069 – Bank 477-1061111-02
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