HOTEL RESERVATION & AIRPORT/HOTEL PICK-UP SERVICE REQUEST FORM

THE 53rd ICHPER•SD ANNIVERSARY WORLD CONGRESS

Please choose one of the HOTELS to make YOUR reservations for accommodations and fill out the Airport Transportation Service Request as indicated below. This form must be completed by every World Congress registrants except for Egyptian registrants.

1)Type or print this form clearly in BLOCK LETTERS and fax or send it as e-mail attachment to the HOTEL of your choice. Please be sure to receive YOUR HOTEL RESERVATION CONFIRMATION NUMBER.

2)It is the sole responsibility of every World Congress participant to make his/her own HOTEL ACCOMMODATION arrangement.

3)Please send a copy of this form to WCEOC’2011 at the Egyptian Sport Science Association, Egypt, and to ICHPER·SD headquarters in Reston, Virginia, so that WCEOC’2011 will be able to organize efficient pick-up service for your arrival or departure. ICHPER·SD headquarters would like to keep this form in their file for reference.

4)Visit the website (), download the form in MS.WORD format, fill it out and e-mail to the HOTEL, WCEOC’2011 of the Egyptian Sport Science Association, and to ICHPER·SD headquarters in the United States.

IDENTIFICATION (PLEASE TYPE OR PRINT CLEARLY in BLOCK LETTERS)

Family: First Name: Middle:

Title: □Prof. □ Dr. □Mr. □ Ms.

Mailing Address: □Office □Residence

City:State/CountryZip/Postal Code

Telephone: Country CodeCity CodeNumber:

FAX: Country CodeCity CodeNumber:

E-mail Address (Please print one letter per line): ______

ICHPER·SD Membership ID No.: Expiration Date: or Life Membership Date:

ICHPER·SD Membership Application in Process: Submitted at Headquarters ___or Attached Herewith

The 53rd World Congress Registration ID No.: __ Date::

ACCOMMODATION FEES
Accommodation at special reduced rates is available at: / Prices
Single
Room / Double
Room / Triple Room
Fairmont Nile City Hotel
Notes: Including breakfast, transportation from Cairo International Cairo Airport and vise versa. / Price:
Single Room Rate (USA $) / 140 / 177 / Not available
Price:
Single Room Rate (Egypt LE.) / 840 / 1062 / Not available
YOUTH HOSTELS
Notes: Including breakfast, transportation from Cairo International Cairo Airport and vise versa including transportation to the headquarter hotel. / Price:
Triple Room Rate (US $) per person / Not available / Not available / 47
Price:
Triple Room Rate (Egypt LE.) per person / Not available / Not available / 282

HOTEL RESERVATION & AIRPORT/HOTEL PICK-UP SERVICE REQUEST FORM

THE 53rd ICHPER•SD ANNIVERSARY WORLD CONGRESS

Second page

Type of room required: ____ Single; I will share my room with: ____ Double and My Roommate’s Name:

I will share my room with: ____ Triple and My Roommates’ Names:

Hotel: Check In Date: Check Out Date:Total Nights (Dates):

Note: If you arrive later or leave earlier than on the dates indicated on your reservation form, the total accommodation will be charged and no refunds will be made. Nevertheless, this policy may be different from one hotel to another. Please inquire about this policy when making a reservation.

PAYMENT CONFIRMATION:AMOUNT TO BE CHARGED:

VISA (13 or 16 numbers):

MasterCard (16 numbers):

American Express (15 numbers):

Expiration Date:

Card Validation Code (The last three digits of the number at the back of the card):

Signature:

Date of application: ______

OFFICE USE ONLY: Reservation Date Confirmation Number Amount (QR) ______

Reference Notes:

AIRPORT/HOTEL/AIRPORT PICK-UP SERVICE REQUEST

Airport-Hotel-Airport Pick-Up Service will be provided by WCEOC’2011 of the Egyptian Sport Science Association. Please fill in the information below, so that WCEOC’2011 can coordinate efficient airport transportation for the congress.

My Name: Number of Accompanying Persons:

Itineraries:Departing from

Arriving at Cairo International Airport:

Arrival Date: Time: Airline:

I will be staying at (Name of Hotel):

Departing from Cairo International Airport:

Departure Date: Time: Airline:

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