INTERNATIONAL CONFERENCE
EAA 14TH ANNUAL CONFERENCE
Online Accommodation Booking Form
 

TITLE: Prof, Dr, Mr, Ms

SURNAME

FIRST NAME

STREET ADDRESS

CITY

POSTCODE

FAX NO

E-MAIL ADDRESS

UNIVERSITY/ORGANISATION 
 

NAME/S OF ACCOMPANYING PERSON/S OR 
PERSONS YOU ARE SHARING ACCOMMODATION WITH
 

SPECIAL DIETARY REQUIREMENTS

 

ACCOMMODATION

Please ensure you have read the accommodation information on the main site before filling in this form.  Please click your option.
 

ROOM TYPE: Single, Twin, with Seaview
 

FROM/TO 
 

NO. OF NIGHTS 
 

CREDIT CARD DETAILS

The hotel will require your credit card number in order to confirm your reservation. If you do not wish to submit this information online, please phone, fax or email the number to the hotel of your choice.

Please click as appropriate.

NAME OF CARD HOLDER

CARD NUMBER

CVV NUMBER (last 3 digits at back of card)

EXPIRY DATE
 

DATE SENT

You may  when done, or if you want to start over.