RegistrationForm
Α. Participant Details- please fill in capital letters
Title: / Prof. / Dr. / Mr. / Mrs. / OtherDegree / PhD / Other
*Surname: / *Adress:
*Name: / *City:
*Telephone: / *Postal Code:
Fax: / *E-Mail:
*Institutional Affiliation: / *Country:
B.Registration
Early Bird Registration Fees (registration until the 20th of January 2014)Latin American Scholar / 150 €
Non Latin American Scholar / 350 €
PhD Student / 75 €
Late Registration Fees (registration until the 20th of February 2014)
Latin American Scholar / 175 €
Non Latin American Scholar / 375 €
PhD Student / 125 €
Social EventsIf you wish to participate to the below social events Check the appropriate fields
Participation to the welcome reception & live musical performance- April 2nd / Free
Participation to Organization studies reception- Old Havana (tba). April 3rd / Free
Participation to the Gala dinner at El patio restaurant ( cathedral square, old Havana) April 4th / 35 €
C.Hotel Reservation
HOTEL / Cost pernightin single room / Cost pernight
in Double room
Melia Cohiba / 100€ / 135€
Hotel Riviera / 69€ / 89€
Above prices include Breakfast and alltaxes.
Please complete the information requested:
Date of Arrival: / Date of Departure: / Nights: / No of Single Rooms / No of Double RoomsAdditional Information (e.g. non-smoking room, twin):
D. Transportation- Airport / Hotel / Airport
Arrival Date: / Flight No: / Time: / No of persons:Departure Date: / Flight No: / Time: / No of persons:
Cost €15 per personper way
E. Tours
Tour / Cost / Date / PersonsHemingway Tour- Old Havana- Revolution Museum (including lunch) Suggested date 31/3/ 2014 / 45 €
Full-day Tour to Vienales Valley (including Lunch)
Suggested date 2/4/2014 / 50€
Catamaran Trip to Cayo Blanco with Dolphin Show
Suggested date 2/4/2014- 6/4/2014
/ 105€
*Kindly note that for every excursion there is a minimum of 20 person
F.Methods of Payment
By Bank Transfer in one of the following bank accounts:- EUROBANK, Account Number: 0026-0237-83-0200937824, Swift Code: EFGBGRAA, IBAN Number: GR35 0260 2370 0008 3020 0937 824, Account Holder: Erasmus S.A.
- ALPHA BANK, Account Number: 103-002320-000855, Swift Code: CRBAGRAAXXX, IBAN Number:
Credit Card
Visa / Master Card / American Express
Credit Card Number:
Name:
Expiration date: / Card Verification Number:
Cancellation Policy
Registration
Cancellation of registration should be made in written to the ERASMUS CONFERENCES TOURS & TRAVEL S.A.
Up to and including February 15, 2014: Full refund less 15% administrative fees
From February 16, 2014 onwards: No refund granted.
Accommodation
Cancellation of registration should be made in written to the ERASMUS CONFERENCES TOURS & TRAVEL S.A.
Up to and including February 15, 2014: Full refund less 50% administrative fees
From February 16, 2014 onwards: No refund granted.
Tours and Transportation
Up to and including February 15, 2014: Full refund less 15% administrative fees
From February 16, 2014 onwards: No refund granted.
All refunds will be made within two months after the end of the Congress. Bank charges will be deducted.