online hotel reservationBy contraception / March 2, 2022 HOTEL RESERVATION FORM 7TH SEMINAR OF THE EUROPEAN SOCIETY OF CONTRACEPTION Budapest, Hungary 12-13 September 2003 Identification part (*obligatory fields) *Family name: *First name: *Title: *select your title*Prof.Dr.Dr.other *Title for correspondence: *select your title*MrsMsMr *Mailing address: *select your option*homeprofessional Institute: (only in case of professional address) Department: (only in case of professional address) *Street/Number: *Zip code: *City: *Country: Tel: Fax: E-mail: Hotel accommodation Danubius Thermal Hotel Margitsziget **** please select your type of roomsingle room (133 euro)double room (156 euro) Prices are per room and night, including buffet breakfast, the use of the spa facilities (swimming pool, sauna, thermal baths, jacuzzi, aroma & steam cabin), the 400 sq meter Danubius Premier Fitness Centre & taxes. *Arrival date: please select10 september 200311 september 200312 september 200313 september 2003other In case of other arrival date please specify: *Departure date: please select12 september 200313 september 200314 september 200315 september 2003other In case of other departure date please specify: *Number of nights: please select123456Name of accompanying person (in case of double room): *AMOUNT DUE (please calculate the total amount yourself): euro Other hotels in Budapest can be found via the Tourism Office of Budapest: http://www.budapestinfo.hu/en/index.html E-mail: [email protected] – Phone: +36 1 266 0479 Method of payment (The reservation guarantee as well as the payment can only be done by credit card) Written confirmation will be sent to you after receipt of your credit card details which will be used as a guarantee of your reservation only. Payment will be made in the hotel. Cancellation policy: For cancellations more than 14 days prior to arrival, 35 euro will charged to your credit card. For cancellation within 14 to 7 days prior to arrival, one night and 35 euro will be charged. For cancellation within 7 days or less prior to arrival or in case of no show, two nights and 35 euro will be charged. Creditcard details (eurocard/mastercard/visacard only): (if you don’t like to send your creditcardnumber through internet please print out the pdf hotel reservation form and send it to the ESC Central Office by mail or fax) Please charge my select your type of cardEurocard/MastercardVisa card Card number: Exp.date: Name of cardholder: I am willing to send my signature in writing to the ESC Central Office if requested by my creditcard company: selectyesno In that case you will be informed through the ESC Central Office. Note: after submitting this reservation form you receive a confirmation of your hotel reservation with payment details to print out for your administration!