ACCOMMODATION FORM for

DCS SysSec Guests

Heraklion 01– 03Sep 2010

(You are kindly requested to send the form as an attachment to:)

PERSONAL DETAILS

First name: / Last name:
Gender: / Male / Female
University/Institute:
Address: / City: / Zip code:
E-mail address: / Tel: / Fax:

ACCOMMODATION REQUEST for HOTEL :…………………….

DATES / Arrival: / Departure: / Total nights:
PREFERRED ROOM TYPE: / Single: / Double:
Sharing Participant name (optional)
Other room type:

ACCOMMODATION REQUEST

HOTEL: / MARIN DREAM HOTEL
Category: / 3*
Room Type: / Single Room BB SSV / Double room BB SSV / Triple Room BB SSV
01/08-15/09 / 68.00€ / 92.00€ / 122.00€
  • B/B : Bed & Breakfast, SSV: SideSea View

PAYMENT:Your accommodation is considered as confirmed ONLY when accommodation fees are deposited

CYPRUS
Bank / Swift code: / BCYPGRAA
IBAN: / GR34-0730-0060-0000-0002-5926-485
Bank transfer / Address: / Eleftherias Square, Heraklion, Crete
Amount: / Account holder: ALEXAKIS GEORGE
Transfer must be made without any charges for the recipient
Don’t forget to mention your name when depositing the fees and send the remittance statement by fax Mrs Rena Minadaki, FAX 0030 2810 281779
Euro
/ Card number:
from / / / to / /
M / M / Y / Y / M / M / Y / Y
Credit Card / Name of the holder: / Last 3 digits of the number at the back of the card:
Amount: / It’s recommended NOT to send credit card details electronically. You can submit the form by fax at +30 2810 281779 [c/o Rena Minadaki]
Euro

For Ticket reservation or any additional request, please see below

departure city / date
Ticket reservation / From: / to Heraklion, on
destination city / date
From Heraklion to / on
Otherrequests
......

For further arrangements, please contact Mrs Rena Minadakiat:
Tel: 0030 2810 281721, Fax: 0030 2810 281 779,

e-mail: