19th EAN Annual Conference, Södertörn University, Stockholm, Sweden 14th -16th June 2010 Hotel Reservation Form for EANB100612 This Form must be used for your room reservation. All reservations must be emailed or faxed directly to the central reservation office: email@example.com fax: +46 8 723 72 79. Please note that the guaranteed rate th expires on 12 May 2010. Reservations made thereafter will be subject to availability only. For queries please email firstname.lastname@example.org DELEGATE DETAILS: First Name: Institution/Organisation: Country: Tel: Email: Please provide your arrival and departure dates: Arrival: Departure: Fax: Last Name: Please indicate your choice of hotel below. Prices are in Swedish Krona (SEK). At the time of writing the exchange rate is approximately 12 SEK to £1 and 10 SEK to €1. Name of Hotel Single Room No. of room required Double Room No. of room required No. of night required Rica Hotel Gamla Stan (30) 1195 SEK 1445 SEK Rica Hotel Stockholm (50) 1295 SEK 1495 SEK Rica Hotel Kungsgatan (50) 1295 SEK 1495 SEK PAYMENT by: Name as on card: Card number: Expiry date: Cardholder’s signature: VISA MasterCard American Express Please complete and return this Form to the hotel by email: email@example.com or fax: + 46 8 723 72 79 with your payment details and the hotel will re-confirm your reservation with a confirmation number.
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