EURETINA CONGRESS Monte Carlo EXHIBITOR HOTEL BOOKING FORM COMPANY LAST

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EURETINA CONGRESS Monte Carlo EXHIBITOR HOTEL BOOKING FORM COMPANY LAST Powered By Docstoc
					                                      7TH EURETINA CONGRESS
                                                                Monte Carlo


EXHIBITOR HOTEL BOOKING FORM                                                                          REGISTRATION NO.

                                                                                                                                  FOR OFFICE USE ONLY


COMPANY:

LAST NAME:                                                                              FIRST NAME:

ADDRESS:

CITY:                                                                                   COUNTRY:

TEL:                                                                                    FAX:

EMAIL:



HOTELS
                                                       Single    Double                                                              Single Double
Monte Carlo Bay        5*                              E251       E265    Hotel Ambassador       3*                                 E165             E165
Fairmont               5*                              E244       E244    Bahia Vista Hotel      3*                                 E110             E140
Colombus Hotel         4*                              E205       E225    Hotel Alexandra        3*                                 E110             E132
Tulip Inn              3*                              E175       E175    Hotel de France        2*                                 E115             E115


Rates are per room per night and include taxes and breakfast. It is advisable to book your accommodation early.
Please note that 50% of the total accommodation cost is due with this booking form and 50% by 1 March 2007.


Arrival Date:_______________________ Departure Date:_______________________ No. of Rooms:___________________


Type of room:                           Single   ❐       Double   ❐       Twin   ❐       Other   ❐     Please specify ________________



HOTEL REQUIRED Please enter 3 options below, as your first choice may not be available.
1st choice:_________________________________________________________________________

2nd choice:_________________________________________________________________________

3rd choice:_________________________________________________________________________



                                                                                                                        3 Digit Security Code
PAYMENT METHOD                                                                                                           (Visa & Mastercard only,
                                                                                                                   printed on the reverse of card)
Visa   ❐     MasterCard ❐         American Express ❐


Card No.                                                                                                     Exp



Cardholder Name (PLEASE PRINT):

Cardholder Signature:                                                                                      Date:

PAYMENT TERMS & BANK DETAILS                                                CANCELLATION POLICY
Name of Account: Agenda                                                      Cancellations prior to 1 December 2006 - 50% cancellation fee
Bank: AIB International Banking                                              Cancellations prior to 1 March 2007 - 80% cancellation fee
Ashford House, Tara Street, Dublin 2, Ireland                                Cancellations after 1 March 2007 - 100% cancellation fee
IBAN: IE63 AIBK 930067 17223684
Swift Code: AIBKIE2D

50% PAYMENT MUST ACCOMPANY THIS RESERVATION FORM

           Please return completed form to AGENDA COMMUNICATIONS, Temple House, Temple Road, Blackrock, Co. Dublin, Ireland
                                  Tel: +353 1 288 3630 Fax: 353 1 288 3636 Email: agenda@agenda-comm.ie


                                                                                                                                  17 - 20 May 2007