To: From: Date: _______________________________ RESERVATIONS DEPARTMENT Azimut Moscow Olympic Hotel Tel: +7 495 931 90 00 Fax: +7 495 931 90 20 (during weekends +7 495 931 90 76) ______________________________ AIRPORT PICK UP AUTHORIZATION FORM We are pleased to assist you with taxi service providing the Mercedes-Benz E-class car along with Komandir taxi! In order to book a transfer for you please fill in all the fields below. Guest Name* Mob. Tel*: Contact Details* E-mail: Fax: Date* # From Flight details* Arrival time Arriving to (airport) Method of payment There will be a charge of 3000 RUB for the taxi from the airport to the hotel. You can pay this charge to the taxi driver directly by cash. The taxi charge can be also added to your room account on your arrival. Note: Please be informed that in case of no-show or late cancellation (less then 3 hours prior to arrival time) your credit card mentioned below will be charged for the amount of 3000 rubles. Please send your cancellation request to [email protected] or call at +7 495 988 88 88. I, Mr./Mrs. ______________________________________________________________ AGREE WITH THE ABOVE TERMS AND CONDITIONS ANDAUTHORIZE THE TOTAL AMOUNT OF TRANSFER TO BE CHARGED TO THE CREDIT CARD PROVIDED IN CASE OF LATE CANCELATION OR NO-SHOW. Cardholder name: Card type Credit card number* VISA MASTERCARD Expire date* Signature of cardholder* * All fields are mandatory to be filled in. Looking forward to having you with us! AmEx DINERS CLUB JCB
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