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EARLI 2014 KU190814 Hotel Reservation Form From the 19/08/2014 22/08/2014 Name Last Name Company address Post Code Telephone Number Email Address Fax Arrival Date Departure Date No of Nights Staying Room Type Rate Excl. breakfast Single Room Double Room Number of rooms Breakfast is available at a supplement of 20 per person per day Method of Payment to Guarantee Reservation Visa MasterCard American Express Diners Club Name of Card Holder Card Number Card Start Date if shown M M Y Y Card...
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