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    Reservation form RIPE 45

Please use this fax form for your reservation at the Fira Palace Hotel.

        
Name: ...................................................................
Surname: ...................................................................

Faxnr:

...................................................................

Telnr: ...................................................................
Arrival date: ...................................................................
Departure date: ...................................................................
Double standard room  EUR 222   ٱ
Double superior room   EUR 246   ٱ
Double for single occupation standard  EUR 195   ٱ
Double for single occupation superior EUR 219   ٱ
Buffet breakfast Is included
Name Creditcard holder: ...................................................................
Creditcardnr: ...................................................................
Expiry Date: ........................./.........................................

Please note that any cancellations or amendments received 7 days prior to the arrival date will be charged in its totally against the provided credit card.

Please fax this form to the Fira Palace: +34 93 4248679