PLEASE SEND THIS FORM BY FAX OR E-MAIL TO: Viajes El Corte Inglés • Princesa, 47 4ª planta • 28008 Madrid • España • Fax: + 34 91 547 88 87 • Phone : + 34 91 204 26 00 E-mail: [email protected] PERSONAL INFORMATION FAMILY NAME: NAME: VAT NUMBER: POSTAL ADRESS: ZIP CODE: CITY: COUNTRY: E-MAIL: PHONE: FAX: HOTELS SINGLE DOUBLE AC BARCELONA FORUM 4* (SUPERIOR ROOM) 232,21 € 255,42 € VINCCI MARÍTIMO 4* 151,91 € 166,32 € VINCCI BIT 4* 151,91 € 166,32 € HILTON DIAGONAL MAR 4* 296,21 € 317,42 € HESPERIA DEL MAR 4* 155,10 € BARCELONA PRINCESS 4* 221,21 € 195,00 € FRONT MARITIM 4* 244,42 € 205,00 € Price per room and night on B&B basis. VAT & City Tax included. HOTEL CHOSEN 1st Option: Arrival (dd/mm/yy) / / Departure (dd/mm/yy): / 2nd Option: Total nights: / FORM OF PAYMENT BANK TRANSFER (free of charges) for the receipt to “Viajes El Corte Inglés, S.A.” BANCO BILBAO VIZCAYA ARGENTARIA • I.B.A.N.: ES 97 0182 3999 3702 0066 4662 – B.I.C.: BBVAESMMXXX Please state your name as bank transfer reference and send us a copy, by fax +34 91 547 88 87 or by e-mail: [email protected] CREDIT CARD VISA Master Card American Express Diners Club 4B I AUTHORIZE THE CHARGE OF: _________________ €. CREDIT CARD NUMBER: _____________________________________________ SECURITY CODE: __________________ EXPIRATION DATE: _____ / _____ CREDIT CARD HOLDER ____________________________________________________ PASSPORT NUMBER: ____________________ DATE: ____________________ Credit Card Holder Signature (Mandatory) PAYMENT AND CANCELLATION POLICY - Full payment is required at reservation time Cancellation policy: o 50% total amount of reservation, for cancellations before November 1st, 2014 o 100% total amount of reservation for cancellations after November 1st, 2014 INVOICING DATA COMPANY NAME: VAT NUMBER POSTAL ADRESS: CITY: ZIP CODE: COUNTRY: The personal details included in this document, are of confidential nature. In accordance with the Constitutional Law 15/1999, of 13 December, the holder of this data will be able to exercise his or her right of access, rectification and cancelation on written application to: Viajes El Corte Inglés, S.A.; Servicios Centrales – Departamento de Organización y Métodos. Avda. de Cantabria, 51. 28042 Madrid.”