PLEASE COMPLETE AND RETURN ONE FORM FOR EACH PERSON REGISTERING TO TAKE PART
IN THE CONFERENCE
FAMILY NAME:
FIRST NAME:
ORGANISATION:
REPRESENTATIVE: YES/NO
GUIDE: YES/NO
P.O. BOX / STREET ADDRESS:
POST CODE AND CITY OR STATE:
COUNTRY:
TELEPHONE:
FAX:
E-MAIL:
ACCOMMODATION ( BREAKFAST INCLUDED):
Arrival date:
Departure date:
Type of room: SINGLE / DOUBLE
I will be sharing a double room with:
Double Rate per night EURO 94,50 (VAT and breakfast included)
Single Rate per night EURO 86,67 (VAT and breakfast included)
SPECIAL DIETARY NEEDS:
VEGETARIAN: YES / NO
OTHER DIETARY NEEDS (PLEASE STATE):
OTHERS
I WILL TRAVEL WITH A GUIDE DOG: YES/NO
ANY OTHER COMMENTS OR REQUIREMENTS:
PLEASE RETURN THIS FORM BY FAX BEFORE 20TH SEPTEMBER 2006
CONTACT
INCENTIVES DEPARTMENT
Conference Secretariat
Tel: +34 91 323 78 14/ 91 323 25 23
Fax: +34 91 314 73 07
E-mail : rgaliano.viajes@once.es
Payment Details All payments must be made to VIAJES 2000 (ONCE travel agency) in
EURO.
Payment has been made by:
_ My reservation is guaranteed with credit card: _VISA _EURO/MASTERCARD _AMEX
I agree that my credit card details will be forwarded to the appropriate hotel
to guarantee the booking and that the hotel may debit my card in the event of
any cancellation fees applicable.
Card Holder:
Card No: ____________________________
Expiry Date: _________________________
CCV security code*: _________________________
I have arranged a bank transfer for payment equivalent to two nights' stay: free
of charge to the recipient to VIAJES 2000
* American Express: 4 digits in front of card.
VISA and MasterCard: 3 digits at back of card.
BANK TRANSFER DETAILS:
Bankinter: 0128/9400/22/0100024721
Codigo Iban: ES39/0128/9400/2201/0002/4721
Swift: BKBKESMM
Please send copy of the bank transfer by fax.
Having signed below I confirm that I have read and agreed with the cancellation
and payment conditions indicated above.
Date ___________________________________
Name _________________________________________________________________
Signature ______________________________________________________________
CANCELLATION AND CHANGE POLICY
Please inform VIAJES 2000 in writing and NOT the hotel about any changes
regarding arrival and departure dates. For cancellations before 30th September
2006, no cancellation fees will be charged.
VIAJES 2000 regrets that the hotel deposit cannot be refunded for hotel
cancellations after 1st October 2006.
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