VISA SUPPORT FORM

We would like to inform you that under Russian law your stay in our hotel must coincide with
the duration of the requested visa support period and your reservation should be guaranteed by
credit card or other agreed guarantee.

PLEASE, BE INFORMED THAT VISA SUPPORT VOUCHER IS NOT A VISA. TO ENTER

RUSSIAN FEDERATION YOU NEED TO GET A VISA FROM THE RUSSIAN EMBASSY!

Details of visa support request

(Please, type or write in UPPER CASE, PRINT LETTERS)
Reservation Confirmation Number:___________ Gender (Sex): __________________

Last Name:________________ First Name: _____________________

(Surname/ Nom) (Name/ Prenom)
Nationality____________________ Date of Birth: _______________________

Passport Number: _____________ Exp. Date: ___________________________

Arrival Date: ________________ Departure Date: ______________________

Card Holder: ____________________________________________________________________

Credit Card Number: _______________________________________ Exp. Date: ____________

I guarantee to pay 3000 rubles for visa support voucher from the credit card provided above in
case of cancellation of this reservation.

Signature: _______________________________________________________________________
(of credit card holder)
I agree to guarantee my reservation by the same credit card. In case of late cancellation after
18:00 on the date of arrival or no show, the first night will be charged to my credit card.

Signature: _______________________________________________________________________
(of credit card holder)

Contact Telephone: ________________________________________________________________

E-mail:___________________________________________________________________________

Visa support documents will be provided to you within 24 hours

Important Note:
Please, take into consideration that according to a new Russian law every foreign citizen applying for
a Russian visa has to present valid travel insurance at the Russian Consulate.

Visa Support Department

Tel 7 (495) 780-4000
Fax 7 (495) 780-4003
e-mail: H3328-FO5@accor.com