W3C



DORINT

HOTEL BRUSSELS
HOTEL RESERVATION FORM
+32-2-231.09.09
11-19, Karel de Grotelaan/boulevard Charlemagne
1000 Brussels

Please return this fax before August 22 1997 to FAX NO: +32/2/285.41.78

Guest Name:_____________________
No. of Persons:______		 Initials:_____________ Mr/Mrs/Ms
Company/Organization: ________________________________________
Address: ___________________________________________________
City: _____________________ Phone: ____________________________
Country: __________________ Fax: ______________________________
Arrival Date: _________________
Departurel Date: ______________		 Time: ___________
Time: ___________

Standard Room - Single Use
Standard Room - Double
Club Room - (Delux)

 BEF 4.500 (appr. $120)
BEF 5.100 (appr. $136)
BEF 5.500 (appr. $148) Single Use
BEF 6.100 (appr. $165) Double Use
These rates are per room, per night and include taxes, service and buffet breakfast.
These rooms are held until 6pm. To guarentee your reservation in case of late arrival after 6 pm, please confirm with your credit card number:

Credit Card: _______ No.: ____________________ Exp.:_______

 

DORINT HOTEL BRUSSELS