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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: $ __________