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5 onfex Booking form Exceptiooal rate valid for the pericxjof 3 d to 1 h May2014 for CONFEX I NERNATI ONAL lbtiinar Mazagan Beach Resort EI Jadida (Casablanca). - Morocco Tel. : Fax. : Reservations@MazaganBeachResort.com Complete Name: Address: Phone: FAX: Plea~tick your choicefa the4 1h to 7'h May slay (2 nights minimum slay) o Deluxe room with pool view, breakfast and touristic taxes included: ~ Single: MAD per night ~ Double: MAD per night o Mazagan suite, breakfast and touristic taxes included: ~ Single: MAD per night ~ Double: MAD per night o Executive suite, breakfast and touristic taxes included: ~ Single: MAD per night ~ Double: MAD per night o Requested extension nights: Check-in:... May 2014 Check-out:... May 2014 Booking conditions: This reservation is not cancellable Rates are valid from the 3 rd to 9 th May 2014 upon availability at the moment ofbooking This form is valid for a reception before the 2S th April This form is only a booking request, the reservation will only be confirmed upon receipt of an official booking confirmation form This form is valid only if accompanied by the credit card debit authorization form dully filled and signed. Thepayment will betaken upon check-in (Please enclosed a copy of your credit card and ID)

6 Date:.,.f.../... Autorisation de carte de credit Credit card authorization Name & First name: I authorize Mazagan Beach Resort to debit my credit card: 0 Visa 0 Master 0 Diners Numero de carte de credit (Credit card number):. Date d'expiration (Expire date): CVV code:. Adresse de Facturation.. Billings Adresse. Pour un montant de.. MAD en letter ( ) For an amount of. MAD in letter ( ) Signature: Nous vous prions de bien vollloir nous retourner ce document par fax OIJ avec line caple de carte de credit recto verso et la cople du passeport du porteur de la carte de credit (Please revert back to us with copy of credit card both sides and copy of passport for the credit card's owner) Copie de carte recto Copie de carte verso

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