| Title: | □Mr. □Ms. □Mrs. | |||
| Your name: | Age: | |||
| Phone: | ||||
| Home address: | Fax: |
| Hotel | ||||
Number of guests: |
||||
| Name of your companion: | ||||
| 2. | □Mr. □Ms. □Mrs. |
|||
3. |
□Mr. □Ms. □Mrs. |
|||
Date (Please circle the nights you are going to stay.) |
| Oct. 10 | Oct. 11 | Oct. 12 | Oct. 13 | Oct. 14 | Oct. 15 | Oct. 16 |
| Room type: Smoking / Non Smoking | ||||
| 3 desired hotels for your preferred date of stay. | ||||
| 1. | |
|||
| 2. | |
|||
| 3. | |
|||
| Express Bus | |||||||
Date (Please circle the date of your departure) |
| Outward | Oct. 9 | Oct. 10 | Oct. 11 | Oct. 12 | Oct. 13 | Oct. 14 | Oct. 15 | Oct. 16 | Oct. 17 |
| Return trip | Oct. 9 | Oct. 10 | Oct. 11 | Oct. 12 | Oct. 13 | Oct. 14 | Oct. 15 | Oct. 16 | Oct. 17 |
| Origin: |
|