Room Reservation Form 3^rd Annual Global Symposium on Business and Mental Energy at Work Geneva, Switzerland 06-07 October 2003 Hotel ref.: Hotel InterContinental Genève - I75 -
Please send or fax this form duly completed (type written or print) before September 5^th, 2003 to: Reservations Dept. Tel. + 41 22 919 32 61 – Fax +41 22 919 32 54 Email: gvaha-reservations@interconti.com
Last name _________________________			First name ________________________
Address Street:______________________________ City:___________ Postal Code:________ Country:____________________________			Tel:_____________________________ Fax:_____________________________ Email:___________________________
Company :_______________________________________________________________
Room Type to be booked:			Arrival Date:___________
Single	CHF 310.-	r	Departure Date: ___________
Double	CHF 310.-	r
Including service and VAT. Subject to 3.25 city tax per person, per night Continental breakfast CHF 27.- / Buffet breakfast CHF 37.-
In order to guarantee your reservations, please provide the following information : Amex r Visa r Eurocard r Autre r ________________ Number _______________________________________ Expiry Date : ____________________ In case of no-show (failing to occupy the booked room without cancellation prior to 24hours before arrival date) one night will be charged.
Signature: Date: hotel confirmation We have the pleasure to confirm your reservation r N° of confirmation: ______________ Reservation agent: _______________________ Date : _______________________