Polish Hotel Reservation Desk - Reservation Form for the Hotel RUBEN, Zielona Gora

Welcome to the Polish Hotel Reservation Desk

You have entered PAY PART of our consierge/ reservation service, where - on your SPECIAL REQUEST -
our local Polish travel agent can check room availability and make a hotel reservation at selected Polish hotels (listed below).

NOTE: This booking service is fee-based, PAID service: For details about our Travel Agency service charge (= reservation processing fee) - see text in RED: below
Uwaga: ta część serwisu (obsługa rezerwacji) jest serwisem PŁATNYM (szczegóły opłaty za obsługę rezerwacji - zobacz poniżej)

HOTEL RESERVATION FORM - Formularz Rezerwacji

Selected hotel: Nazwa hotelu:	Hotel RUBEN , Aleja Konstytucji 3 Maja 1 A, Zielona Gora, Poland
Total Number of Persons: Liczba osób:
Preferred Room Type: Preferowany rodzaj pokoju:
Number of rooms: Liczba pokoi:
Arrival date: (dd.mm.yyyy) Data przyjazdu:	, estimated arrival time: ok. godziny: 13-23 o'clock (or: 1 pm - 11 pm)
Length of your stay: Liczba nocy:	nights (number of nights)
Remarks/ Special needs: Uwagi/ Specjalne życzenia:

Reservation for Rezerwacja dla:

Company NAME NAZWA FRIMY:	, Guest Nick Name (Imię/ Pseudonim Goscia):
E-mail: E-mail:	(A reservation confirmation will be sent to the email provided above)
Contact Phone (best: mobile/ handy) Telefon kontaktowy (najlepiej: komórka):	+country_code - area_code - phone_number
COUNTRY - this phone is located in:

Payment for accommodation: Guests pay for accommodation with cash or by credit card - directly at the hotel reception.
Za pobyt w hotelu Gość płaci sam za siebie: gotówką lub kartą kredytową - bezposrednio w recepcji hotelu.
Reservation Guarantee - Gwarancja rezerwacji: credit card (VISA, MasterCard/ EuroCard or Amex) valid on the arrival date is required:
1. to guarantee this reservation to the hotel,
  AND
2. to pay travel agency service charge (service charge = 10% of total reservation value, but minimum: 66 PLN/ about 16 Euro)
  Note: we charge only for successful reservations - there is NO travel agency service charge (reservation processing fee), if the reservation request cannot be completed due to lack of availablity.
I do guarantee this reservation with the following credit card:

I do authorize to charge provided credit card with the travel agency service charge (reservation processing fee)
= 10% of total reservation value (but minimum: 66 PLN/ about 16 Euro).
I understand, that this travel agency service charge is NOT included in room rates and is NOT refundable in case of cancellation.

Credit Card type:	Card number:	, CVV: (3 or 4 digits)
Expiration date:	Name of card holder:
Note: only regular, classic (embossed) credit cards: VISA, EuroCard/ MasterCard, Diners, JCB and AMEX can be used to guarantee hotel reservations. Please do NOT use electronic cards (like: Maestro, Cirus, VISA Electron) or check cards.

Standard Disclaimer for Travelers

General Cancellation Policy:

Reservation is guaranteed with provided credit card.
If you will not need this reservation any more, please cancel as soon as possible, but not later than ONE DAY prior to arrival date
Please note, that in case of a no-show, the hotel reserves the right to charge the provided credit card for the first night.

Note: a reservation confirmation will be sent to your email address (in English) - usually within 1-24 hours (business days MO-FR).

Standard Disclaimer for Travelers
General Cancellation Policy: Reservation is guaranteed with provided credit card. If you will not need this reservation any more, please cancel as soon as possible, but not later than ONE DAY prior to arrival date Please note, that in case of a no-show, the hotel reserves the right to charge the provided credit card for the first night.

- to the Polish Hotel Reservation Desk