11TH LJUDEVIT JURAK INTERNATIONAL SYMPOSIUM ON COMPARATIVE PATHOLOGY Main topic: GASTOINTESTINAL PATHOLOGY June 1-2, 2001 - HOTEL SHERATON ZAGREB,  ZAGREB, CROATIA

HOTEL JADRAN  ACCOMODATION RESERVATION FORM  Vlaska 50  -  HR-10000 Zagreb  -  Croatia tel. (385-1) 4553 777  -  fax (385-1) 4612 151

I confirm the reservation in the Hotel Jadran.

Name:

Arrival: Departure:

single room including breakfast at DEM 100 per room per night     City Tax and insurance fee is extra approx. DEM 2,50 per person per day double room including breakfast at DEM 120 per room per night     City Tax and insurance fee is extra approx. DEM 2,50 per person per day

CREDIT CARD
AMEX VISA MasterCard/EuroCardDiners Club
Card number:   Valid until:
Signature: __________________________________                (Autorized signature of cardholder)
For additional information do not hesitate to contact us at phone no. (++358 1) 4553 777 When making the reservation, we kindly ask you to fill this form and fax it back to us lately by May 20, 2000 on the fax no. (++385 1) 4612 151   We are looking forward to welcome you at our property. Sincerely yours Hotel Jadran

 

Please print and send by mail or fax to: ACCOMODATION RESERVATION HOTEL JADRAN   Vlaska 50  10000  Zagreb  Croatia tel. (385-1) 4553 777  -  fax (385-1) 4612 151 if you need some help: juraks@mef.hr