HOTEL RESERVATION FORM
STEIGENBERGER KURHAUS HOTEL
on behalf of the
The 2nd Annual IPC Agri-Forum

Room rates: Single room: 168, - US$ per room per night (dfl. 310,-)
                        Double room: 211, - US$ per room per night (dfl. 390,-)
                        Seaview room: 238, - US$ per room per night (dfl. 440,-)

Room rate is inclusive of breakfast, but exclusive of city tax (dfl. 7,95 per person per night)
Note: the roomrates in US$ are just an indication, based on the current hotel-exchange rate. The exchange rate is subject to change. On the departure day the roomrate in Dutch Guilders will be exchanged against the exchange rate of that day.

Arrival date/time/flight:                                                                                 

Departure date/time/flight:                                                                            

please fill out in capital letters

Name:                                                                                                         

Company Name:                                                                                          

Address:                                                                                                      

Zip Code:                  City:                               Country:                             

Phone:                                                Fax:                                                   

Important notice: rooms will be held until 18.00 hrs. on the arrival day unless the rooms are guaranteed. Reservations can be guaranteed by submitting the following information of your credit card:

Credit Card type and number:                                                                      

Expiration Date:                                                                                           

Name and signature of holder:                                                                      

Changes and/or cancellations are to be made directly with the hotel via phone, fax or mail.

Please complete and fax/mail to:
STEIGENBERGER KURHAUS HOTEL
Attn. Reservations Department
Gevers Deynootplein 30
2586 CK The Hague
Phone: 31-70-416-26-30 • Fax: 31-70-416-26-40