Reservation

Fields with

are obligatory

Name

First name

Street and n°

Code postal

Town/Village

Country

Phone

Fax

GSM

Passport Nr.

If you fill in this information here, you won't be asked to fill in a police-form at the checkin-desk anymore !!

E-mail

Motorcycle

Have you already stayed with us?

Yes or No

If so, wich period/year

Name of Club / Group

Address of Club or group

Nr. of persons

Date of arrival
+ Check box !

day / month / year
Mon Tues Wed Thur Fri Sat Sun

Hour of Arrival (approx.)

Nr. of Nights

Hotelformula

bed & breakfast (standard formula)
non-stop catering from 12:00 until midnight

Nr. Rooms

2 pers. double bed
2 pers. single bed
3 pers. single bed
4 pers. single bed
single-use (2 pers. room)
campbed on dormitory

Request

Do you have a special request?

(for example : room on the groundfloor, vegetarian food,...)
We shall do our very best to satisfy you.

Deposit

25 Euro per pers. per night =
(on dormitory 10 Euro pp can do)

to be paid by creditcard (Visa/Mastercard/Eurocard/Amexco)
nr. card Valid date MM / YY

Card Identification Number :
(=last 3 digits on backside of card)

(Note that we might decide to keep your number on our sleeve as a guarantee instead of taking the money.)

or:

by international transfer to the account of Hotel Groenedijk at Fortis Bank, Marktplein 1 B-8460 Oudenburg
BIC GEBABEBB / IBAN BE05 2800 7748 7475
With mentioning the date of arrival.

Balance

How would you pay the bill?
Cash Visa Eurocard MastercardAm.Express

How do you want us to charge the individual consumptions?
individual account group account
(if you want to enjoy the group-discount all drinks has to be added on the group account!)

Cancellation-cost

1 week or longer before arrival : € 10,00 pp
till 1 day before arrival   :            € 25,00 pp
on day of arrival           :             € 40,00 pp
no show                      :             € 50,00 pp
              (dormitory = value x50%)

List of participants

In order to achieve an easy and fast "check-in" we kindly ask you to join a list of participants & resp. rooms

Attention:

note that this booking will only be definite after reception of our confirmation.

(Valid for groups : the submitor will be responsible jointly and severally)