ETN Hotel Reservation Form for
ORBIS HOTEL VERA, WARSAW

This Reservation Form is sent DIRECTLY to ORBIS HOTEL VERA by E-Mail.
(NOT to the ETN Head Office, NOT to a travel agent or any other office)
ORBIS HOTEL VERA will answer your request as soon as possible.
If your reservation is confirmed, ORBIS HOTEL VERA will send you a Confirmation Number, the applicable GROSS or RACK Rate and the Discount Given.

Your details:

Family Name:
Initials:
Company Name: Optional !
Position: Optional !
Profession: Optional !
Street / P.O.Box:
City + State:
Country:
Postal / Zip Code:
Telephone Number: incl.Country + Area Code
Fax Number: incl.Country + Area Code
E-Mail: Absolutely necessary !
ETN Card Number:
ETN Card Expiry Date:

YES, I want to reserve the following Accommodation:


POLAND 02366       WARSAW             Ul.BITWY WARSZAWSKIEJ 1920 r. 16
ORBIS HOTEL VERA        Tel.(48)22-227 421        Fax (48)22-236 256
E-Mail: htvera@it.com.pl
25% DISCOUNT on DM 105-128 (Single: DM 90-107)    FIRST CLASS * 156 Rooms
MAR-NOV: DM 120-150 (Single: DM 100-128).   Lower Rate = Fri-Sun ONLY.
Peaceful hotel with large car park. Especially good for travellers by car
Continental & Polish restaurant (100 seats, Open: 7-23 h.)

Arrival Information:

Arrival Date
Arrival Time
Arriving from
Arriving by
Arriving by Flight Number: (Optional !)

Departure Information:

Departure Date
Departing to
Departing by
Departing by Flight Number: (Optional !)

Accommodation requested (1 ETN Card needed for EACH Room)

x Single Room (1 person)
x Double Room (2 persons)
x Triple Room (3 persons)
x Quad Room (4 persons)

Car Rental requested (1 ETN Card needed for EACH Car)

Car Group
Car Pick-Up at

Remarks, Comments and Questions

Use the space below to place special requests, provide additional information, or ask any questions. You'll be answered promptly.


Credit Card Information

If your estimated Arrival Time is after 16.00 hours (4 pm), your reservation can only be guaranteed upon receipt by the Hotel of a ONE NIGHT deposit before your arrival OR by completing your Credit Card Information below.

ORBIS HOTEL VERA realizes that you may not be very comfortable in sending your credit card info via Internet. That's why they advise you to send your card number in one of the following TWO ways:
  1. Send EACH block of 4 digits in REVERSE order !!
    EXAMPLE: Your credit card number is: 1234 5678 9123 4567
    Below you give your credit card number as: 4321 8765 3219 7654
  2. Send your credit card number by fax to: + (48)22-236 256

Inform how you send your credit card number:


Credit Card NUMBER 4 x 4 digits !
Expiration Date mm/yy
Name Card holder
Credit Card type