Hotel de France, Schottenring 3, 1010 Wien, Austria, Tel.: +43 1 313 68-0, Fax: +43 1 319 59 69, [email protected], www.hoteldefrance.at ____________________________________________________________________________________________________________ Room reservation form University Vienna 16-19 May 2016 Room Details Please choose Superior Single or Double room : Superior Single room +buffet breakfast SuperiorDouble room+buffet breakfast € 122,- per night € 142,- per night Date of arrival: ...................................... Check-In time:.................... (from 2 p.m.) Date of depature: .................................. Check-Out time: ................ (till 11 a.m.) Guest Details Surname: ................................................ E-Mail: ......................................................... First name: ............................................. Telephone: .................................................. Country: ................................................. Fax: .............................................................. Credit Card Credit card holders name: ..................................................................................... Credit card number: ............................................................................................... CVC/CVV-Code:.................................................................................................... Expire date:.............................................................................................................. Conclusion Sign: ..................................................................................... Date: ..................................... By signing this form you kindly state your full acceptance and authorization for us to charge your credit card as per terms and conditions indicated hereinafter. Terms and conditions: To take advantage of these rates, please, use this reservation form. This special rate is applicable until 18 March 2016 only. Cancellation policy: Cancellation free of charge is possible until 5 days before arrival. Cancellation between 5 and 2 days before arrival 100% of the first night is due, from 2 days before arrival or No-Show 100% of the expected revenue is due. Please return the completed form until 18 March 2016 to the hotel. Confirmation of the above reservation, on behalf of the hotel: Confirmation number.: ................................. Sign: .................................. Date: .............. Austria Hotels Betriebs GmbH Operated by Gerstner Hotels & Residences GmbH Sitz: Wien, FN 51998v beim HG Wien, UID Nr. ATU 61581988