1. Healthcare

Hotel reservation form
RIPE NCC – MAY 2015
We would like to ask you to fill out this form and return by email to [email protected] at latest 14 days prior to
your arrival.
Last name:
First name:
Company:
E-mail address:
Phone number:
Address:
Postal code:
City:
Country:
Arrival day:
Departure day:
Total nights:
Arrival time AMS:
Special Requests (upon availability)
Below mentioned rates are valid on 9 May until 17 May 2015 and only applicable for RIPE 70 delegates. (Please cross
what is applicable):
□
Superior room for single use including breakfast at a rate of € 195,00;
□
Superior room for double use including breakfast at a rate of € 220,00;
The above mentioned prices are including VAT and excluding 5 % city tax.
Reservation made via this reservation form an administration fee of € 10,00 per booking is applicable (not
applicable via online reservation).
Payment details
I provide my credit card to guarantee the booking and I authorize Hotel Okura Amsterdam to charge my credit card
according to the terms explained above.
Credit card type:
Credit card number:
Visa / Amex / Diners / Master / Other:
Expr. Date:
Cardholder Name:
Signature:
Date:
Terms and conditions:
- The number of hotel rooms are based on availability;
- This special rate is only valid for reservations made through handing in this form;
- Cancel one month prior to arrival to avoid fee of full Reservation Value incl. taxes.
Should you have any questions with regards to your reservation, please do not hesitate to contact the hotel’s
reservations agents at [email protected] or telephone 0031 20 678 8300.
Ferdinand Bolstraat 333, 1072 LH Amsterdam, The Netherlands
T +31 (0)20 6787 790 F: +31 (0)20 67 87 493
www.okura.nl