Hotel Booking Form

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This certificate has to be returned to Corsica Events before July 10^th, 2009

Bookings will be satisfied in the order of reception.

Bookings have to be done before July 10^th, 2009.

ACCOMODATION FORM

 

PARTICIPANTINFORMATIONS

 

Organization (University, Company, Institute, …) : 

 

Job or Status : 

 

Mrs □ Ms □ M □  Name and first name :  Date of birth : //

 

Adress :

Code Post : City : Country : 

Phone :

Fax : 

E-mail :

HOTEL ACCOMODATION

 

Cancelation of bookings: amount of cancelation fees :

                                                                              From J-30 to J-22:                            30 % of the global amount

                                                                              From J-21 to J-14:                            70 % of the global amount                             

                                                                              From J-13:                                          100 % of the global amount

BOOKING DETAILS

 

Arrival date :                               Departure date :       Number of nights : 

                                                                                                                                                                                            Rate per night : €

TOTAL DUE

 

                   TOTAL OF HOTEL ACCOMODATION:              €   

           PAYMENT

 

Reservations will be confirmed by Corsica Events. The amount to be paid and the corresponding invoice will be passed on to you by e-mail.

Payment can be made by bank transfer. Please note that all bank costs and money transfer costs must be prepaid by the registrant.               

Please, be sure to pay all fees charged from your bank. We must receive your wire transfer amount in full. Please, do not forget to ask your bank to include your name as the issuer (originator) of the transference.

INSERT ALSO THE REF. NUMBER OF THE PAPER otherwise, we will not be able to associate the transference to your

conference fees.

      □ by Check enclosed (please make check in Euros payable to Corsica Events – Ollandini Voyages)

      □by credit card              □ Visa□ Mastercard□ American Express  

                             Number of card :   Expire end : /  Cryptogram : 

                             Name of the owner of the card : 

                             Name and signature of the owner of the card:

□by Bank Transfer                                                               BNP PARIBAS

                                                33, Cours Napoléon - AJACCIO

                                                                                Agence Ajaccio (01467)

                                                                                RIB: 30004 01497 00020005661 27

IBAN: FR76 3000 4014 9700 0200 0566 127

SWIFT / BIC: BNPAFRPPNIC