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

 

 

 


X

 

Signature

Date

 

PAYMENT CONDITIONS FOR HOTELS, TOURS AND TRANSFER RESERVATIONS

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.

CANCELLATION CONDITIONS

 

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