HOTEL BOOKING FORM - PDF - PDF by csgirla

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									                                               10–13 April 2010                              HOTEL BOOKING FORM
                                                                                                     Symposium Hotline: +44 (0)20 7736 8788
                                                                                                               Please return to: Events Office, BIBA Conferences,
                                                44 Burlington Road, London SW6 4NX UK Fax: +44 (0) 20 7736 8283 Email: info@cxsymposium.com
                                                                                                                                          Web: www.cxsymposium.com


PARTICIPANT INFORMATION (BLOCK CAPITALS)
Last Name                                                                                              First Name                                          Title
Institution or Company
Address




Post code                                              City                                                   Country
Email   (please write clearly)

Telephone                                                                                Fax

HOTELS
Occupancy required                                                              Single                  Double                    Breakfast

                                                 Please number
Main Faculty Hotels                            Order of preference
                                                               oked                                                                     £10 per person per/night
Millennium Gloucester Hotel                           Fully bo                     £147.00                 £159.00                      Tick if required

Millennium Bailey’s Hotel                                      oked                £147.00                 £159.00                      £10 per person per/night
                                                      Fully bo                                                                          Tick if required

Grange Strathmore Hotel                                        oked                £108.00                 £130.00                Included
                                                      Fully bo
Rembrandt Hotel                                       Fully   booked               £150.00                 £150.00                Included
Regency Hotel                                                                      £126.00                 £138.00                Included
Best Western Cromwell Hotel                                                        £120.00                 £135.00                Included
Holiday Inn (Forum)                                                                £133.00                 £143.00                Included
                                                               oked
Royal Lancaster                                       Fully bo                     £148.00                 £163.00                Included
The London Marriott Hotel, Kensington                                              £159.00                 £169.00                Included
The Kensington Hotel                                                               £170.00                 £180.00                Included
The Radisson Edwardian Hotel                                                       £145.00                 £185.00                Included
All rates are inclusive of VAT.
All hotel rooms are held against your credit card and must be paid for on departure.
All hotels are 10–15 minutes walk from Imperial College

BOOKING DETAILS
Arrival date                                                                           Departure date

Number of nights                        Rate per night £                                    Total due £
                                   based on first preference

Smoking room preferred                      Non smoking room                 subject to availability

PAYMENT

Hotel reservations can only be confirmed with a valid credit card to guarantee the booking.
Confirmed reservations must be cancelled directly to the hotel 24 hours prior to arrival to avoid being charged.

Credit card: I authorise the hotel to debit my credit/debit card with the Total due amount above
Card type: VISA / MASTERCARD / DELTA / SWITCH / AMEX Please specify

Card number                                                                            Expiry date                       3 digit security code                Issue no
                                                                                                                               (on back of card)           (Switch only)
                                                                                                                             (4 digits for Amex)

Cardholder’s name                                                                               Cardholder’s signature
                                                                                                                                                              Ref: 10/01/10

								
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