Eden Hotel Reservation Form

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Below is the 2-page reservation form for the Eden Hotel Group.

Page1 ********

EDEN

Hotel De Broeierd - Enschede

Dish Hotel - Enschede

Star Hotel - Hengelo

BOOKING REQUEST World Conference ACT 2009 -University of Twente 29-06-2009 until 03-07-2009

Preferred Hotel :

□ Eden Hotel De Broeierd Enschede

□ Eden Dish Hotel Enschede

□ Eden Star Hotel Hengelo

Hotel room

Arrival Date ___________________________________________

Departure Date ________________________________________

Number of nights _______________________________________

Number of rooms _______________________________________

Number of persons ______________________________________

Special requests ________________________________________

* Room rate € 90.00 per room per night ( single use), Breakfast € 15.00 per person

Personal

Family name ___________________________________________

First name _____________________________________________

Address _______________________________________________

Postcode ______________________________________________

City ______________________________________________

Country ______________________________________________

Phone __________________ Fax: __________________

E-mail ___________________________________________ Eden Hotel De Broeierd Enschede, Hengelosestraat 725, 7521 PA Enschede 053-8506500

Eden Dish Hotel Enschede, Boulevard 1945 nr 2, 7511 AE Enschede 053-8506600

Eden Star Hotel Hengelo, BP Hofstedestraat 50, 7551 DG Hengelo 074-8516800

Page 2**********

EDEN

Hotel De Broeierd - Enschede

Dish Hotel - Enschede

Star Hotel - Hengelo

Method of payment

In order to process your hotel reservation, we do require your credit card number and expire date. Your credit card is only used for guarantee purposes and will only be charged in case of non-arrival without prior / timely cancellation. All payments will be done directly at the hotel, either by credit card, pin card or in cash.

Credit card details Credit card : □ Visa, □ American Express, □ Euro/Mastercard

Card number : _______________________________________ Expire date : ____________________

Name card holder : _________________________________________

Conditions

-We advise to reserve your room as soon as possible but before 28-04-2009

-Reservations, cancellations and modifications will be done in writing

-This registration form will only be handled when it is filled out completely

-All requests will be confirmed in writing within 2 days by Eden Hotels Twente

-Free cancellation is possible upon 4 days before arrival date, after this date the room costs ( € 90.00 per night) will be charged on your credit card

By signing this form you agree with the above mentioned conditions.

Signature : ___________________________________________ Date : ________________________________________________

Please return this form to:

Eden City Hotels Twente

Reservations Department

Hengelosestraat 725

7521 PA Enschede

Netherlands

Fax : 0031 (0)53 850 6502

E-mail : reservations.twente@edenhotelgroup.com

Eden Hotel De Broeierd Enschede, Hengelosestraat 725, 7521 PA Enschede 053-8506500

Eden Dish Hotel Enschede, Boulevard 1945 nr 2, 7511 AE Enschede 053-8506600

Eden Star Hotel Hengelo, BP Hofstedestraat 50, 7551 DG Hengelo 074.-8516800 *******