HOTEL RESERVATION BOOKING  FORM
" 12th International School of Biophysics 2014"
HOTEL ZORA*** -  Primošten,  September 27th till October 6th,  2014

1. PARTICIPANT DETAILS:
First Name:	

Last Name:	

Adress:	

E mail:	

Phone/Mobile/Fax No.:	

2.    ACCOMODATION IN HOTEL:
       
     ARRIVAL DATE:   ____________________                            DEPARTURE DATE: __________________	

                                                               Check in: 15:00 / Check out 11:00	

       ROOM RESERVATION (Please mark Your choice):
       
       1/2  Comfort room***              Full Board                   47,00 EUR       
       1/1 Comfort room***                Full Board                   64,00 EUR      
       1/2 Premier Club room****      Full Board                   55,00 EUR            
       1/1 Premier Club room****      Full Board                   74,00 EUR            
    
First service:Dinner         Last service:Lunch

Price is per person/per day. Tax is 1,00 € a day / per person and it is not included in accomodation price.

If You have chosen double room, please fill the name of person sharing the room with You:

____________________________________________________________________	

3. RESERVATION CONDITIONS:   

CREDIT CARD GUARANTEE     CREDIT CARD TYPE:     AMEX           DINERS          MASTER CARD     VISA
                                                      NAME OF CC HOLDER :_________________________________________________
                                                      CREDIT CARD NO :  __________________________   VALID THRU: ____________	

 ADVANCE PAYMENT                 COMPANY NAME: _____________________________________________________	

                                                       ADDRESS: ___________________________________________________________	

                                                       FAX NO/E MAIL: ______________________________________________________	

The hotel only accepts reservations guaranteed with a credit card or reservations that have been paid in advance 
(if you choose prepayment, the invoice will be issued by hotel Zora Sales department upon receipt of this form).  

Cancellation Policy:
- 21-15 days prior arrival 20% of total amount of reservated service will be charged
- 14 - 10 days prior arrival 30% of total amount of reservated service will be charged
- 9 - 5 days days prior arrival 60% of total amount of reservated service will be charged
- 4 - 0 days prior arrival and NO SHOW  100% of total amount of reservated service will be charged
		
Please, send filled reservation booking form UNTIL 01.09.2014 on fax no. +385 22 571 120 or e-mail: ivana.toric@adriatiq.com  & biophysics2014@irb.hr
Information at +385 22 571 881 or 570 048

PLACE AND DATE:  	  		                                                            SIGNATURE: