Hotel and Meeting Registration Form

Hotel & Meeting Reservation Form

The registration fee(covers the costs of catering, gala dinner and shared facilities), for the Annual PVC Events2012 excluding the cost of accommodation, is €340per attending delegate. This cost will be invoiced to your organisation upon receipt of this booking form. Please return this form as soon as possible and not later than the 15 MARCHto: Noelle Tracey at -

Fax.+32.2.6767447 - Tel +32.2.6767441

Reservation Details: Mr. Mrs. Ms.

Surname: ……………………………………….. First Name …………………………………..

Company: ……………………………………………………………………………………………..

Address: ……………………………………………………………………………………………….

Post Code/City: …………………………………………. Country: …………………………...

VAT Number …………………………………………………………………………………………..

Phone: ……………………………………………… Fax: …………………………………......

Email: …………………………………………………………………………………………………..

Accompanying Person: …………………………………………………………………………..

______

Hotel Cascais Miragem

Av Marginal No. 8554, P-2754 536Cascais, Portugal

Phone: +351 210 060 600 - Fax: +351 210 060 601

Website:

Single Room: €140with breakfast and taxes included

Double Room: €140 with breakfast and taxes included

Arrival Date:………………………………………..Important:

Estimated arrival time ……...

Departure Date: …………………………………….

Non SmokingSmoking

Reservation Policy

Reservation guaranteed by credit card: The cardholder signature is required

Credit Cards that can be used at hotel:

American Express Diners Eurocard

Mastercard Visa

Name Cardholder: …………………………………………………………………………………..

Card Number: ……………………………………………………………………………………....

Expiry Date: ………………………………………………………………………………………...

Payment to be made upon check out at the reception

Signature Card Holder …………………………………………………………………..

Meeting Registration