|
Congreso
IRPA 12 |
|
Please fill with Capital
Letters
|
Passenger data |
||
|
Last
name |
|
|
|
First
Name |
|
|
|
E
mail address |
|
|
|
Billing information |
||||||
|
Name |
|
|||||
|
Address |
|
|||||
|
Cont. |
|
|||||
|
Contact
Phone |
|
Business
phone |
|
|||
|
Cell.
Phone |
|
Country
of residence |
|
|||
|
E
mail address: |
|
|||||
|
Credit Card Information |
|
|
Card
Holderīs Name |
|
Account
Number
|
|
|
Expiration
date |
|
Security code
|
|
|
Billing Address |
|
|
Street
/ Number |
|
|
Location
/ Zip code |
|
|
Passport Information |
|||
|
Nationality |
|
Date
of Birth |
|
|
Passport
number |
|
||
|
Date
of issue |
|
Valid
until |
|
|
Personal
Address |
|
||
|
Location
/ SIP |
|
TEL/FAX: |
|
|
Hotel Reservation Info. |
|||
|
Hotel
Name |
|
Category |
|
|
Room
type |
SGLB DBLB |
||
|
Date
In |
|
Time
IN |
|
|
Date
Out |
|
Time
Out |
|
|
|
|||
|
Ground transportation |
|||
|
Arrival
|
YES NO
|
Departure
|
YES
NO |
|
|
|
|
Signature |
Date |
a) Hotel reservations in Buenos Aires:
A
deposit equivalent to two nights accommodation should be paid with the reservation
form.
Note:The
balance of the hotel bill should be received before June20th, 2008.
b) Congress tours:
A
deposit equivalent to 30% of the tour price should be paid through the
reservation form.
Note:The
balance of the hotel bill should be received before June20th, 2008.
c) Sight-seeing in Buenos Aires and transfers:
Payment
should be sent at the time of sending the registration form.
a) Accommodation in Buenos Aires
Participants whose
cancellation is received before Apr 10th, 2008 will be refunded in
full.
A cancellation fee
equivalent to two nights accommodation will be charged for cancellations
received between Apr 11st, 2008 and August 1st, 2008.
No refunds will be made
after August 2nd, 2008.
b) Congress tours:
Full refund for
cancellations reported before June 20th, 2008.
20% of the
tour price will be charged for cancellations received after June 21th
, 2008.
c) Sight-seeing in Buenos Aires and transfers:
To be
entitled to full refund, cancellations should be reported 72 hours prior to the
tour date.
Please
send by fax ( 54 11 ) 5031 7778