I prefer to print and fax the form to: +31 (0)53 480 26 60

Fields marked * are obligatory.

 

Your details  

Company name*

Your family name + initials*

Sex *

Sex *

male
female

Address *

Postcode *

Town *

Telephone no. *

Fax no.

E-mail address*

Your reservation  

Single room

Double room

Date of arrival

Date of departure

Time of arrival

Type of reservation  

I expect to arrive before 18.00 hrs
I am employed by the University of Twente and I personally guarantee this reservation
I expect to arrive after 18.00 hrs - I will pay by credit card - For security reasons I will send my credit card details to you by fax

Names of guests  

If you are not making the reservation for yourself, please fill in below the names of the persons on whose behalf the reservation is made.

Names of the guests

Special requests  

Special requests

I take part in the conference:

Your room(s) is/are reserved as soon as you have received our confirmation.