Pre-Excursion Form

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Final Pre-Conference Tour Form Athens – Delphi – Meteora 16-19 July2009 Please fill in your personal information and send this form to admin_pme33@symvoli.gr First Name: ………………………………………………………….. Last Name: ………………………………………………………….. Type of room (single or double): …………………………………. A deposit of 100 euros should be paid until 22nd of May in order for your reservation to be valid. Way of Payment Credit card Please send either by email to admin_pme33@symvoli.gr as attached file or by fax to ++30 2310 433599. VISA American Express Master Card Number…………………………………………………………………………………………………… Name of holder:………………………………………………………………………………………. Issue date (if AMEX)…………………... Expiration date …………………………….…… Identification code (three or four digit number on the back of the credit card)………..…. Bank Transfer BANK Name: ALPHA BANK Bank address: 29, Ethnikis Antistaseos str., Gr- 55134, Kalamaria, Thessaloniki Bank account name: SYMVOLI- Conference & Event Organisers Bank account number: 712-00-2002-005190 Bank IBAN code: GR81 0140 7120 7120 0200 2005 190 Bank BIG code: CRBAGRAA Please do not forget to state the delegate‘s name and the justification of the deposit while making the deposit and send us a copy of the receipt by fax ++30 2310 433599. Furthermore, please keep in mind that all bank charges must be borne by the participant and may not be deducted from the amount remitted. I agree that: This credit card information is provided to charge the deposit of 100 euros upon submitting the form as well as the remaining amount. The remaining amount will be charged prior my arrival and not earlier than June 19th. If I cancel in writing before June 19th, the deposit is not refundable. If I cancel in writing after June 19th and until July 10th, 50% of the total tour amount will be refunded. No refunds will be made after July 10th. Signature Date ………………….. …………………………..

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