Room reservation

ROOM RESERVATION

Hotel VNIIGAZ, Razvilka, Leninskii Rayon, Moskovskaya oblast

Tel. [phone]

Fax [phone]

E-mail *****@

Kindly indicate your preference (Note: Service Charge, VAT and Breakfast included, all rooms are non-smoking):

Single Standard Room (3500.00 RUR) aprx.

Double Standard Room (4000.00 RUR) aprx.

Signal Semi-Suite (5100.00 RUR) aprx.

Apartment Suite (8600.00 RUR) aprx.

Check-in Date: Check-out Date: ____ days

Time of arrival and departure

Check in time is 12:00 on the day of arrival; check out time is before 12:00 on the day of departure.

Cancellation Cancellations must be received in writing three days prior the departure.

Company name and Phone number:

Guest Information Citizenship:

Name: Date of birth:

Passport #: Date of issue:

Contact phone #: E-mail:

Payment Instructions Please complete the following credit card information to guarantee your room reservation. Card Name: EuroCard Diners Club Visa Master Card Card Number: Name of Card Holder: Expiry Date of Card: Signatura:

Flight Details Arrival Date/Time: Airline: Flight No.: Departure Date/Time: Airline: Flight No.:

Special Request

If you have any special request (e. g. dietary or physical requirements), please mention this below: