Accommodation Information and Registration: Forms

PARTICIPANT DETAILS

1. SURNAME:______________________________________________

2. FIRST NAME[S]:_________________________________________

3. TITLE/AFFILIATION:______________________________________

4. ADDRESS:_____________________________________________

5. TEL. No:________________________________________________

6. FAX No:________________________________________________

7. E-MAIL:_______________________________________________

HOTEL CHOICE 

8. LIST HOTELS IN ORDER OF PREFERENCE

1. ____________________________________
2. ____________________________________
3. ____________________________________
4. ____________________________________
5. ____________________________________
6. ____________________________________
7. ____________________________________
8. ____________________________________
9. ____________________________________
10. ____________________________________

9. TYPE OF ROOM: SINGLE......................DOUBLE....................TRIPLE....................

10. NAMES OF ADDITIONAL ROOM OCCUPANTS (if any): ______________________________

________________________________________________________________________________

________________________________________________________________________________ 

11. TOTAL STAY: (No OF NIGHTS) _______________________

12. DATE OF ARRIVAL: _____________________________________

13. DATE OF DEPARTURE: __________________________________

PAYMENT[S]

14. Payment procedure comprises of two stages:
i) Deposit 30% of total accommodation cost (to be paid within 30 days upon confirmation of provisional booking)

Please indicate:

a] By Bank Transfer..............................................

b] By Postal or Money Order ................................

c] By Credit Card ................................................

ii) Balance (to be paid preferably by 10th May 2000 or latest on arrival)

Please indicate

a] By Bank Transfer ............................................

b] By Postal or Money Order ..............................

c] By Credit Card ..............................................

d] By Cash on arrival .........................................

PAYMENT DETAILS

15. Method of payment

a. PAYMENT BY BANK TRANSFER

BANK PARTICULARS

ACCOUNT NAME : LREC 2000

MOEL CONFERENCES E. GRAPSA & Co E.E. 36, ELEON Str. KIFISIA , 145 64 , GREECE

ACCOUNT NUMBER: 091 44023240

SWIFT ADDRESS : ETHN GRAA 091

BANK : NATIONAL BANK OF GREECE MENIDI BRANCH

b. PAYMENT BY POSTAL OR MONEY ORDER

TO BE SENT TO:
MOEL CONFERENCES E. GRAPSA & Co E.E. 36, ELEON str. KIFISIA, 145 64 GREECE

c. PAYMENT[S] BY CREDIT CARD

If paying by credit card then the following text has to be sent by FAX:

For each payment (i.e. either deposit or balance) not to be paid by credit card, please indicate method of payment in the respective bracket.

---------------------------------------------------------------------------------------------------------------------------------

MOEL CONFERENCES

E. GRAPSA &Co E.E.

36, ELEON Str.

KIFISIA 145 64 , GREECE

FAX No : +301 8078342

DATE:

RE: LREC accommodation

WE HEREBY INSTRUCT YOU TO DEBIT MY CREDIT CARD WITH THE FOLLOWING AMOUNT [S]:

DEPOSIT 30% GRD ...........................................ON RECEIPT OF THIS FAX [.................................]

BALANCE GRD ...........................................ON ..................... MAY 2000 [.................................]

CREDIT CARD TYPE: (VISA, DINERS, AMEX etc)____________________________________

CREDIT CARD NUMBER: ________________________________________________________

EXPIRY DATE: _________________________________________________________________

NAME OF CARD HOLDER: ______________________________________________________

CARD HOLDER'S SIGNATURE:

----------------------------------------------------------------------------------------------------------------------------------

In case any of the two payments, i.e. deposit or balance, is to be effected otherwise please state that in the fax above.