Conference Hotel Drienerburght: Hotel room reservation

	Reservations
	Hotel room reservation

I prefer to print the form and fax it to: +31 (0)53 435 67 70
Fields marked * are obligatory.

Your information

Company name *

Your name + initials *

Gender *

Gender *male
female

Address *

Postcode *

Town *

Telephone no.*

Fax no.

Email address*

Your reservation

Single room

Double room

Date of arrival

Date of departure

Time of arrival

Type of reservation

I expect 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 by fax (Fax: +31 (0)53 480 26 60)

Names of the 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 needs

If possible please reserve room facing the water

Yes
No

I take part in the conference:

Other

Your room(s) will be reserved as soon as you have received our confirmation.

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