Name and Surname

Address

Phone ___________________________ Fax ________________

Arrival date _____________________ Departure date _______________________

ADRIATIC GRAND HOTEL ****, Opatija, Croatia, phone: +385-51-719-010, Fax: +385-51-719-015

Indicate preference:
O Single
O Double

	Price of room (kn)*
	with standard furnishings		with TV, mini bar and radio
	single	double	single	double
O Bed/Breakfast	144	72	225	99
O Half board	180	108	261	135
O Full board	227	155	308	182

*Residence tax of 8.50 kn per day per person is not included.

I am willing to share double room with :

Date ________________________ Signature __________________________________________