HOTEL RESERVATION FORM
WUWM 28th Congress
Santiago – CHILE
22 - 26 October 2013
Last name: ______
Name: ______Male Female
Telephone: ______
E-mail: ______
Please place a cross (X) next to your room choice with rate (per room, per night)
SHERATON SANTIAGO HOTEL & CONVENTION CENTER
Classic Room single USD 210 + 19% Tax double USD 220 + 19% Tax
Club Floor single USD 240 + 19% Tax double USD 250 + 19% Tax
HOTEL SAN CRISTOBAL TOWER – A Luxury Collection
Grand Deluxe single USD 280 + 19% Tax double USD 290 + 19% Tax
· These rates include breakfast served at the Restaurants of the Hotel and WIFI
· The value aggregate tax (IVA) of 19% may be waived for foreign guests who settle their total bill in US dollars, be it cash, travelers cheques or by international credit card (i.e. American Express, Diners, Visa or MasterCard).
Please Note: We are a non-smoking hotel.
Arrival / Departure:
Arrival day: ______Flight number: ______Time: ______
Departure day: ______Flight number: ______Time: ______
Special Requirements: ______
· Check in time: 15:00 (3:00 pm )
· Check out time: 12:00 ( noon)
Cancellation Policy:
Cancellations received by September 20 are subject to a one night fee charge. Cancellations received after September 20 are subject to payment of the entire stay which will be charged to the given credit card.
Payment details:
Amex Diners Master Visa
Credit card number: ______Expiry date: ______
Signature: ______
Please send this form fully completed by e-mail to:
or by fax: (+56-2) 7070108 Tel: (+56-2) 7070690 for assistance