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Registration_ Accommodation and Tours Booking Form A .doc

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					                  Registration, Accommodation and Tours Booking Form
A. PARTICIPANT'S DETAILS - please fill in capital letters
              Title:    Prof.          Dr.              Mr.                Mrs.             Ms.       Other
           Degree:      PhD          M.D.         F/MRCOG                 Other
        *Surname:                                                 *First Name:
       *Institution:                                            * Department:
   *Postal Address:                                               *Postal Code:
       *City/State:                                                  *Country:
       *Telephone:                                                           Fax:
           *E-Mail:

        Your data details will be provided to the meeting’s sponsors and will appear in the final delegate’s list.
                                            Ι αgree        I do not agree

                  Accompanying Person(s):        1.
                                                 2.


B. REGISTRATION

                                                                           Between
                                                     Before
               Registration Category                                       July 1 to                   On-site
                                                  June 30, 2011
                                                                      September 26, 2011
         Full Registration                              € 500                       € 750                 € 850
         Trainee, Midwife, Nurse                        € 250                       € 300                 € 350
         Accompanying person                            € 150                       € 150                 € 150


C. SOCIAL EVENTS
(please indicate which social events you plan to attend)
                                                                                                  Cost per    Tick () to
                                         Event
                                                                                                   Person       attend
Opening Ceremony                        Included in the registration fee for delegates                         Yes
                     th
Tuesday, September 27 2011              and accompanying persons                                                No
Welcome reception                       Included in the registration fee for delegates                          Yes
                     th
Tuesday, September 27 2011              and accompanying persons                                                 No
Tour on the Acropolis and the New       Included in the registration fee for                                    Yes
Acropolis Museum                        accompanying persons                                                     No
Tour on the Acropolis and the New       Additional fee for registered delegates                    € 57           Yes
Acropolis Museum                                                                                                  No
Gala Dinner                             We would like           tickets                            € 85           Yes
                      th
Thursday, September 29 2011                                                                                       No
Closing ceremony                        Included in the registration fee for delegates                            Yes
                    th
Friday, September 30 2011               and accompanying persons                                                  No
D. ACCOMMODATION
                                                          Please select the first,
                                                                                    Single Room Double Room
                         Hotel Name                     second and third choice of
                                                                                   with breakfast with breakfast
                                                                the hotel:
      Athens Hilton Hotel                                  FULLY BOOKED                  205 €          215 €
      Divani Caravel Hotel                                                               160 €          180 €
      Crown Plaza Hotel                                                                  170 €          190 €
      St. George Lycabettus                                                              175 €          185 €
      Holiday Suites                                                                     155 €          165 €
      Airotel Alexandros                                                                 122 €          122 €
      Airotel Stratos Vassilikos                                                         132 €          132 €
      Golden Age Hotel                                                                   105 €          115 €
      Best Western Ilissia Hotel                                                         105 €          115 €
      President Hotel                                                                     80 €           85 €

Please complete the information requested:
Date of Arrival: Date of Departure:           Nights:     No of Single Rooms No of Double Rooms


Additional Information (e.g. non-smoking room):

E. TRANSPORTATION - Airport / Hotel / Airport
  Arrival Date:                        Flight No:                 Time:                  No of persons:
Departure Date:                        Flight No:                 Time:                  No of persons:

        By taxi (maximum 3 persons) 55 Euro per taxi


F. TOURS
                    Description                       Tour Code        Date         Cost per Person     No of persons:
Half day Tour to Acropolis and
                                                         HD3                              € 57
the New Acropolis Museum
Half day Tour to Cape Sounion                            HD2                              € 35
Full day Tour to Delphi                                   FD1                             € 90
Full day Tour to Argolis                                  FD2                             € 90
"Sea Voyage": Cruise to the Argosaronic Gulf             FDC                              € 90

G. TRAVEL INSURANCE Cost per person 10 €
      No Travel Insurance required
      Insurance for           Person(s)

H. PAYMENT IN EURO
All payments should be made in EURO without charges for the beneficiary, to the order of ERASMUS CONFERENCES
TOURS & TRAVEL S.A. as follows:
       By Bank Transfer
       Alpha Bank, Venizelou Branch, Bank Code 014, Account Number: 103-002320-000855, Account Holder:
       Erasmus S.A., Swift Code: CRBAGRAAXXX, IBAN Number: GR29 0140 1030 1030 0232 0000 855
       It is important that a copy of the bank transfer is sent to the Meeting Organizing Bureau, Erasmus Conferences Tours &
       Travel SA by fax to +30 210 7257532 together with the Registration, Accommodation and Tours Booking Form.
       By Credit Card                                  By Debit Card
                  Visa                        Master Card                     Eurocard
         Card Number:
          Card Owner’s Name:
          Expire Date:                                                           Card Verification Number:



CANCELLATION POLICY AND REFUND
Registration: Cancellation of registration should be in writing to the Meeting Organizing Bureau. For every written cancellation
received before August 31st, 2011, 50% of the registration fee will be refunded. No refund thereafter. All refunds will be made
within two months after the end of the Meeting. Bank charges will be deducted.
Accommodation: Written notification is required for all cancellations and changes to your itinerary. A copy of the Registration,
Accommodation & Tours Booking Form should be attached to the letter of notification and sent to ERASMUS CONFERENCES TOURS
& TRAVEL S.A. Refunds will be made as follows according to the postmark on the notice of cancellation:
Up to and including     August 31st, 2011 (Refund per room) 50%
After                   September 1st, 2011                       None
Tours: Written cancellations received prior to August 31st, 2011 will receive full refund minus
€ 30 administrative fee. There is no refund for cancellations received after September 1st, 2011

Please note that respective receipts will be given to you during registration days on site

				
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