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FINAL ACCOMMODATION FORMX-BIONIC® HOTEL

FINA World Youth Artistic Swimming Championships

Šamorín (SVK), August 28 – September 1, 2019

Federation:

Contact Person:

Billing address:

E-mail: Phone:

ROOMING LIST

# Surname, Given Name

Room Type SR/DR/TR/QR (Single/Double/

Triple/Quadruple)

Year of Birth

Meal you want to start withB/L/D (Breakfast, Lunch,

Dinner)

1

2

Slovenská plavecká federáciaZa kasárňou 1, 831 03 Bratislavatel.: +421 238 105 478IČO: 36 068 764, DIČ: 2021658199sekretariat@swimmsvk.sk, www.swimmsvk.sk

ACCOMMODATION REQUEST WITH FULL BOARDNumber of Rooms Arrival Departure Number of Nights

Single Room170 EUR

room/personDouble Room

155 EUR room/personTriple Room

140 EUR room/person

Quadruple Room120 EUR

room/person

3

4

5

6

7

8

Date Signature & Stamp

President / General Secretary

Please return this form before June 23rd, 2019 to accommodation@finasamorin2019.sk

Slovenská plavecká federáciaZa kasárňou 1, 831 03 Bratislavatel.: +421 238 105 478IČO: 36 068 764, DIČ: 2021658199sekretariat@swimmsvk.sk, www.swimmsvk.sk