To: Hotel Moers van der Valk GmbH Room Reservations (Fax): +49

To: Hotel Moers van der Valk GmbH Room Reservations (Fax): +49

To:
Hotel Moers van der Valk GmbH
Room Reservations (Fax): +49 2841-146 239
Reservation at Hotel Moers van der Valk
Our Reference:
Group Name:
Confirmation MOE-GFC6527
PSI Metals GmbH (Room Allocation)
RESERVATIONS POSSIBLE UNTIL 15th NOVEMBER 2010
Please mark accordingly:
Binding Reservation:
( ) Single Room at 98,00 € incl. Breakfast Buffet
( ) Double Room at 108,00 € incl. Breakfast Buffet
Date of arrival: ………………..
Date of departure: …....………………
First Name: ______________________ Last Name: _____________________
Billing Address:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Roo m Reservati o n
page 1
Please submit your Credit Card details:
Credit Card Company / Credit Card Number / Expiry Date:
_____________________________________________________________
Security Code:
_____________________________________________________________
Signature:
_____________________________________________________________
( ) Please send a confirmation to:
Fax Number: _________________________________
or
E-Mail Address: ________________________________
Roo m Reservati o n
page 2