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Room reservation

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									                SSA 517821 GutImpact 3rd Platform meeting on Foods for Intestinal Health
                         29.-31.8.2007, Haikko Manor & Spa, Finland

                             Accommodation and registration form


Family name                                       Given name                                          Prof. / Dr. / Mr. / Ms.

_____________________________________________________________________________________________________
Company                                Mailing Address

_____________________________________________________________________________________________________
City                                   Postal Code              Country

_____________________________________________________________________________________________________
Tel. Office                                         Fax.

_____________________________________________________________________________________________________
E-mail


Accompanying Person
Family Name                                       Given Name




Room reservation
Arrival Date                          Departure Date                             Number of nights
                ____________                           ________________                              __________



Haikko Manor & Spa, Haikkoontie 114, 06400 Porvoo, Finland
                                  Single room / EUR                                  Double room / EUR

                                 Standard single room |__| 130                       Standard double room |__| 172
                                 Business room        |__| 172

Check-in at 15.00, Check-out at 12.00.
Prices are per night per room and include buffet breakfast.



Registration fee                                  EUR 700/ per person including VAT



 The registration fee includes the scientific programme, get-together on 29.8, meeting lunches on 30.-31.8. and dinner on 30.8.2007



NOTE: Registration and room reservation is to be made latest 1.5.2007. We kindly ask you to fill in and sign the
registration form, and mail or fax it to the Finland Travel Bureau before 1.5.2007.
The payment is to be made latest 1.5.2007. Your credit card will be charged after receiving your registration form
latest 1.5.2007. A confirmation of the reservation will be sent to You after payment. The reservation is possible to
cancel before 15.7. 2007, cancellation fee EUR 40/person. Cancellation fee after 15.7.2007 is 100%.
Hotel charge     number of nights/ total             EUR ____________

Registration fee / person                            EUR ____________


TOTAL AMOUNT                                         EUR ____________


Method of Payment

 |__| CREDIT          CARD         |__| Visa        |__| Master Card       |__| Euro Card   |__| Amex
Card Number in full:                                        Expiration date (month, year):         Amount EUR
|__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__    |__|__|__|__|                         |__|__|__|__|__|,|__|__|

Card signum ________ ( 3 characters on reverse side of the card, after card number on Amex-card on top of number)

Credit card billing address (if other than the address above):
_____________________________________________________________________________________________________

I authorize the use of my card for this purpose:____________________________________________________________ ___

 |__| Bank transfer: Nordea / BIC: NDEAFIHH                          IBAN FI 4623331800024640
   Reference number to be added when using bank transfer: 8500015/ MK




Date: ____________________________              Signature: ________________________________________________________



Mail or fax to: Finland Travel Bureau / Meetings
                Maljalahdenkatu 35, P.O.Box 1727, FIN-70111 Kuopio, FINLAND
                Fax: +358 10 826 6501
                E-mail: meetings@smt.fi




Accommodation                    Finland Travel Bureau / Meetings
and registration:                Mirka Knuutinen
                                 E-mail: meetings@smt.fi

Other information:               Marja-Liisa Huru
                                 E-mail: marja-liisa.huru@valio.fi
                                 tel. +358 10 381 3011

								
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