D I S C ' 9 8 Hotel Accommodation Form Please, return this form to: Keramidas Travel, Othonos Amalias 45 (4th floor) Patras 26.221, Greece Tel. +30.61.273.330, Fax: +30.61.221.225, E-mail: keramida@mail.otenet.gr by July 31, 1998 First Name:_______________________________ Surname ____________________________ Position: ______________________________________________________________________ Address:_______________________________________________________________________ Country:_______________________________________________________________________ Phone : ____________________________________ Fax: ________________________ E-Mail : _______________________ Hotel Registration Please check the room of your choice. The prices are in GRD per person / night including breakfast and the lunch. Please note that the lunch will take place at "Andros Holiday Hotel". All taxes are included. The rooms will be reserved on a first-come first-served basis. Attendants are urged to register as early as possible in order to secure a room. Moreover, since September is still a high touristic month in Greece, accommodation cannot be guaranteed unless early booking is made. Hotel Single Room Double Room Andros Holiday Hotel 22.500 GRD 17.000 GRD Studio's Ostria 15.000 GRD 10.500 GRD Arrival Date [Check-in]:________________ Arrival (flight) Time:______________ Departure Date [Check-out]:______________ Departure (flight) Time:___________ Accompanying Persons (list name and, if child, indicate age): 1. ______________________________ 2.___________________________________ Number of Rooms Requested: Single _______________ Double ________________ Number of Nights _________ Sharing With: _________________________________________________________ Total Cost _________________________ Sum enclosed in GRD________________ Payment Payment must be effected in Greek Drachmas (GRD). All bank fees must be covered by the remitter. Hotel booking cannot be made for applications without deposit. The deposit per room is -20.000- GRD. Please check the desired way of payment: ___ Bank transfer to the account: KERAMIDAS TRAVEL, National Bank of Greece, Bank Code 225 Account No. 64463531. Please include copy of Bank transfer order. Please charge the following credit card: ____ VISA ____ American Express Cardholder's Name __________________________ Expiration Date _______________ Card Number _______________________ Cardholder's Signature _________________