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registration and hotel reservation form - Conferences.hu

registration and hotel reservation form - Conferences.hu

BANQUETThe

BANQUETThe registration fee for general participants is including the banquet ticket. Banquet ticket price includes25% VAT.Extra banquet ticket(s) HUF 12500 No. ............ HUF ..................PROCEEDINGSProceedings prices include25%VATPrice Number of copies Total priceESA 2003 Proceedings HUF 21500 * No. ............ HUF .....................WABI 2003 Proceedings HUF 17000 * No. ............ HUF .....................* EUR 1 = approx. HUF 270PROCEEDINGS FEES TOTAL HUF ......................TOTAL PAYMENTFees include 25%VATTotal feeRegistration fees HUF .....................Extra banquet ticket(s) HUF .....................Proceedings HUF .....................Total HUF .....................ACCOMMODATIONBlock reservation has been made for participants. Hotel fee includes breakfast and all taxes.Hotel fee should be paid directly to the hotel. No reservation will be made without credit cardinformation!Single roomDouble roomHotel Benczúr *** EUR 80/night EUR 95/night Hotel Benczúr * SOLD OUT SOLD OUTCheck in date ........ September, 2003 - check out date ........ September, 2003. Number of nights ........General ConditionsOne night room rate will be charged- in case of non-attendance if a cancellation notice in writing is not received by the ALGO2003Secretariat on or before 30 August 2003- in case of delayed arrival if the ALGO2003 Secretariat is not advised on or before 30 August 2003

METHODS OF PAYMENTCredit CardI authorise ALGO2003 to charge the above amount tomyAmEx EuroCard/MasterCard Visa Card number .................................................................Expiry date....................................................... .............Cardholder’s name.........................................................CVV code (last 3 digits of the security code (see theback side of your card or on Amex Cards the additional4-digit code on the front) .........................Billing address: ...........................................................................................................................................................................................................................................Cardholder’s signature .................................................Bank transfer to the account:"ALGO2003" SCOPE Meetings Ltd.Account no. 11711041-20420022Bank name: OTP (National Savings Bank)Bank address: H-1117 Budapest, Karinthy F. ut 16, HungarySwift code: OTPVHUHBPlease, attach a proof of the remittance to this Registrationand Hotel Reservation Form and make sure that the nameof each participant is clearly indicated on all documents. Ihave transferred the above amount.Date .…..………….……Signature ….…..…...…...………

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