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HOTEL METROPOLE ROOM REGISTRATION FORM Please return this reservation by fax or email before: 21/10/2011 To Fax Tel Email

: : : :

Reservations Hotel Métropole, Brussels 02/218 02 40 02/214 24 25 or 02/214 24 26 resa@metropolehotel.be

Booking Code: ESHA

Please make the following reservation: Arrival day: Departure day: Number of nights:

___ /2011 ___ /2011 ___

Please tick the appropriate box: Superior room, single occupancy at 179,00 € night (breakfast included) Superior room, double occupancy at 209,00 € night (breakfast included) All above room rates include all taxes & service charges.

Guarantee by credit card: Your reservation will be kept for late arrival. In case of a no–show or cancellation 72 hours (3 working days) before the arrival date, a one night charge will apply.

Credit Card Number:

___________________

Signature and date:

____________________________________________

Last name: First name: Company: Postal address:

____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________

Email: Tel & Fax number: Accompanying person:

Expiry Date:

________

Deadline 21/10/2011: After this date the hotel will not be able to guarantee availability and reservations will be made on a space and rate availability basis. After sending this document, you will receive a confirmation of your booking (via our Reservations Department).


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