PARTICIPANT
MR / MRS / MS (Last Name):
FIRST NAME:
INSTITUTION:
ADDRESS:
CITY:
COUNTRY:
PHONE:
TELEFAX:
E-MAIL:
ACCOMPANYING PERSON(S)
MR / MRS / MS (Last Name):
FIRST NAME:
MR / MRS / MS ( Last Name ):
FIRST NAME:
HOTEL INFORMATION
Hotel MARQUES DE SA, Category ***, Single Room/BB 11 100, Double Room/BB 12 700
Hotel Holliday INN, Category ***, Single Room/BB , Double Room/BB
Hotel A.S. LISBOA, Category ***, Single Room/BB 11 700, Double Room/BB 13 800
Hotel BERNA, Category ***, Single Room/BB 9 500, Double Room/BB 11 600
Note: All prices are in PTE. 1 EURO is approximately equal to 200 PTE. It is possible to have a few low cost rooms for students. Please inquire.
ACCOMMODATION
Please reserve my Accommodation in the following Hotel:
1st Choice Hotel:
2nd Choice Hotel:
Single with breakfast:
Double with breakfast:
Arrival:
Departure:
Total Nights:
TOTAL:............................. (Rooms X Nights)
METHOD OF PAYMENT
Please charge my Credit Card
( )VISA, ( )MASTERCARD, ( )AMERICAN EXPRESS, ( )DINNERS
Credit Card Number:....................
Expiry Date:..............
Owner's Name:.........................................
Bank Transference to: (In this case, please send us a copy of the Bank Transference.)
BPI
CENTRO EMPRESAS PORTO
Account number : 1292463/000/001
NIB - 001001831292463000102
SWIFT CODE - BBPIPTPL
C/O Viagens Abreu S.A. / NRAD2001
BOOKING and PAYMENT CONDITIONS
Payment of 2 nights accommodation must accompany this Application Form, which shall reach our office till August 8th 2001.
Viagens Abreu will send you confirmation of reservation by fax or email. All cancellations/ammendments must be done in writing ( fax, letter or email ). The remaining payment shall be paid directly at the ABREU HOSPITALITY DESK, located at the conference center.
Extra expenses in the Hotels must be paid directly by the participant.
Date : ......... Signature:...................................