I.A.DenCo s.r.o. ICO: 25 07 54 20 To:RESERVATION DEPARTMENT Tel: +420602857538 Tel/fax: +420241443604 Email: [email protected] Your Title: Your First Name: Your Last Name: Company Name: Your e-mail: Your Telephone: Your Fax: Your Address: Your City: Country: Please make this RESERVATION in the Name Of: Title: Mr. / Mrs. / Miss / Ms. First Name: Last Name: Check-in Date: Check-out Date: Total number of nights: The name and type of accommodation : Name of Hotel: Type of Room: single/ double/ twin/ triple/ apartments/ suite/ extra bed/ baby bed Number of rooms of this type: Total number of persons: incl. children Estimate time of arrival: Comments/Special Requests: Additional services : Transfer to/from hotel (up to 4 persons): Airport-hotel(one way - 20 USD): Yes,please/ No, thanks Arrival time: Arrival flight #: Raiway station-hotel(one way - 15 USD): Yes,please/ No, thanks Arrival time: Arrival train #: City Tours: Yes,please/ No, thanks I wish to pay: -by bank transfer/ -by credit card directly in hotel/ -in cash after arrival Date Signature