wzór karty meldunkowej

Wzór karty meldunkowej (registration form) hotelu Unicom

( \ \ --i* \ "mm /	tJĆoIgIfyfolicotyłl Hotel Unicom . . . , ul.Słoneczna 3 W W W W 34-549 Rawicz REGISTRATION FORM JSŹSomslmw
RESERVATION NUMBER:..................................
SURNAME: AjUO .YTjjO,		FIRST NAME: J,iUuę.	S ECO ND NAME: £, lUU.^
HOME ADDRESS: QjĆUtfł&
COUNTRY OF RESIDENCE: pJbuALL		IDENTITY DOCUMENT:oUYU,luou.GLufc %OŚACUJUDĆU
COMPANY NAME:/UjQ£CCA^W		NIP NUMBER: mr Y/V
ARRIVAL DATĘ: dd/mm/yyyy <Xosdv 'pojazdu ........../........../................................		DEPARTURE DATĘ:dd/mm/yyyy ćtOA\ ;kt,lUc(C ........../............/...............................
flAS • iUjScLU k\'ji Credit card number:	& tm&‘dxQ2f)Ol(i ............................... Expiry datę:................................

LUNCH

□    ADULT

_ dAidu

□    CHILD

□    AMOUNT

lCckc

□    AMOUNT.

DINNER

□    ADULT

□    CHILD

□    AMOUNT

□    AMOUNT ..

iYi\.

CAR REGISTRATION ‘NUMBER: ............

GUARDED CAR PARK:

□ YES

□ NO

I, undersigned, hereby State that I have read in fuli the hotel regulations and undertake to abide by them. I authorize Hotel Unicom to process all incidental and room charges to the credit card provided if I don’t pay all outstanding charges upon departure.

guest's signature

_OOlAmlL_

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