SPIER ACCOMMODATION RESERVATION FORM

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					                             SPIER ACCOMMODATION RESERVATION FORM
                                                        Language 2009 Conference  
                                                           17 – 20 November 2009
           Please complete and return by Fax  +27 (0)21 881 3141 OR email reservations@spier.co.za  (Tel: 
                                +27(0)21 809 1997) no later than 17 August 2009
                               A DEPOSIT EQUAL TO ONE NIGHT’S STAY IS REQUIRED TO CONFIRM THIS BOOKING

Participant details                 Place  in appropriate box
                 Title              Prof              Dr            Mr        Ms

  Initials & Surname
First name for badge

Accompanying person details         Place  in appropriate box
                 Title              Prof              Dr            Mr        Ms

  Initials & Surname
First name for badge

    Organisation

      Full Postal
       Address
         City
         Country                                                                                           ZIP Code

      Telephone                                                                             Fax
       Number                                                                             number

          E-mail


    THE VILLAGE AT SPIER WINE ESTATE, STELLENBOSCH ****                              Number
                                                                                                   Date         Date         Total
                            B&B                                                         of                                                Amount
                                                                                                    In          Out          Nights
                         120 rooms                                                   Persons
 R1150­00 per person, per night in Single Standard Accommodation
 R1380­00 per room, per night in Shared Standard Accommodation
 Total amount to be paid

    Please note that check in time is at 1400. Should you require to arrive at the Hotel prior to that
   time, we shall gladly store your luggage and transfer it to the room as soon as it is ready. Check
                                out time is at 1100 on the day of departure.
Transfers; Our in-house provides transport to and from the airport. Kindly contact Creative Concierge on
traveldesk@spier.co.za or tel +27 (0)21 809 1911 for a quotation and advise of your arrival and departure dates
and time.

Amount to be deducted: R1150                   □                     R1380   □       Full amount for duration of stay                  □
                                                                  PAYMENT DETAILS
Place  in appropriate box
                               Funds                       Visa             Master             American Express
Cheque
                              Transfer                     Card              Card                    Card
                                                           Name of card
  Credit Card Details                                        holder
                                                                                                                          Last 3 digits on
  Amount                             Expiry date                  Card No
                                                                                                                          the back of card
 Please fax proof of payment should you do a direct transfer

 Bank:  Nedbank Business Winelands, Account name:  Spier Resort Management (Pty)Ltd, Account no:  1498 066984, Branch code:  149821, Swift code: 

NEDSZAJJ

  I (above stated participant) herewith acknowledge that the information supplied is correct and authorise the hotel to process the 
                                                 credit card payment if applicable.


     Signature                                                                                                   Date