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First Name Family Name Company affiliation Mailing Address Postal code-City-Country Country code + Phone # Country code + Fax # E-mail address

Arrival 20 21 22 23 24 25 26 09 2002 Departure 21 22 23 24 25 26 27 28 29 30 09 2002

Check accommodation desired CATEGORY **** Grand Hotel Dino **** Double single use - Euro 184,00  **** Double room - Euro 243,00 CATEGORY *** *** Double single use - Euro min 63,00 / max 78,00 *** Double room - Euro min 84,00 / max 104 Other or lower categories on request ATTENTION: The rates are per night, including breakfast, taxes and service. If single rooms are not available, a double room for single use will be assigned automatically.

Deposit Visa  Mastercard  American Express  Deposit first night Euro Number credit card Expiration date 01 02 03 04 05 06 07 08 09 10 11 12 2002 2003 2004 2005 2006 2007 2008 Cardholder name Cardholder birth date