199317, Russia, St.Petersburg,

Nevskogo sq.2,

Entrance 5, office 2

Fax: 7 (812) 274 21 52

E-mail: office@mmtours.ru

 

Hotel Reservation Form

For Symposium IAU 223 participants

Fax to 7(812)274-2152 or 7(812)274-7149

 

Last name    

 

 

First name

 

Citizenship

Address

 

 

Date of arrival

 

 

Date of departure

Type of hotel: (  ) ****, (  ) ***

Name of hotel:

 

Type of room: (  ) Standard  (  ) Business

(  ) Single  (  ) Double  (  ) Twin

(  ) extra bed

Number of persons:

Payment by credit card: (  )Mastercard or (  )Visa

Credit card number:

 

Expiration date:

 

Signature

 

 

Date

Reservation: The credit card will be charged for one day room price. This amount is refundable if the reservation is cancelled at least 3 days before arrival.

For more information about prices, reservation and cancellation, please, refer to http://www.mmtours.ru (Hotels in St. Petersburg)