Survey
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
Passages Deaf Travel 758 McGuire Place Newport News, VA 23601 Office: PDT.NO-IP.BIZ VP / TDD Fax: 757-599-9184 Website: www.PassagesDeafTravel.com Email:[email protected] NH Duc de la Victoria Hotel Barcelona, Spain June 26-28, 2009 $25.00 per person deposit to hold room (check, money order, or credit card). Space is LIMITED at these blocked prices! Full Payment on hotel stay is due April 28, 2009. Max of 3 people in a room. Prices are for the room (NOT PER PERSON), include 7% tax, and are in EUROS. Exact amount due in US dollars will be based on the exchange rate on April 20, 2009. If you wish to pay in full before then, please contact us for current exchange rate. Send this form in with Deposit to hold room. Double Occupancy: _____ Standard Room with One Queen Bed for 2 NIGHTS - 250.00 Euro (Approx. $325.00 US dollars) _____ Standard Room with Two Twin Beds for 2 NIGHTS - 250.00 Euro (Approx. $325.00 US dollars) _____ Standard Room with One Queen Bed for 1 NIGHTS - 125.00 Euro (Approx. $162.50 US dollars) _____ Standard Room with Two Twin Beds for 1 NIGHTS - 125.00 Euro (Approx. $162.50 US dollars) Triple Occupancy: _____ Standard Room with One Queen Bed and One Roll Away Bed for 2 NIGHTS – 345.00 Euro (Approx. $448.50 US dollars) _____ Standard Room with Two Twin Beds and One Roll Away Bed for 2 NIGHTS – 345.00 Euro (Approx. $448.50 US dollars) _____ Standard Room with One Queen Bed and One Roll Away Bed for 1 NIGHTS – 172.50.00 Euro (Approx. $224.25 US dollars) _____ Standard Room with Two Twin Beds and One Roll Away Bed for 1 NIGHTS – 172.50 Euro (Approx. $224.25 US dollars) Print Your Name: _________________________ Roommates Name: ________________________ Roommates Name: ________________________(if a Triple room is requested) We are paying at least the $25.00 per person (Contact us for Euro Exchange Rate for full payment) Deposit by: - I am sending a Check in Amount of $_______________ - I am sending a Money Order in Amount of $_______________ - I am paying by Credit Card: VISA MC DISC AMEX (please circle one) Credit Card Number: _________ ________ _________ _________ Expiration Date: Month: ______ / Year: _______ Security Code – Visa / MC / Disc (3 numbers on Back of Card) ________ Security Code - American Express (4 numbers on Front of Card) ________ Your Name as it Appears on Card: __________________________________________ Credit Card Payment Amount: $ __________