Registration, Accommodation and Tours Booking Form

Registration, Accommodation and Tours Booking Form

A. PARTICIPANT'S DETAILS - please fill in capital letters

Title: / Prof. / Dr. / Mr. / Mrs. / Other
Degree / PhD / M.D. / Other
*Surname: / *First Name:
*Institution: / * Department:
*Postal Address: / *Postal Code:
*City/State: / *Country:
*Telephone: / Fax:
*E-Mail:
Accompanying Person(s): / 1.
2.

B. REGISTRATION- REDUCED FEE ONLY FOR RUSSIAN NATIONALITY PARTICIPANTS

Registration Category / Up to
April 25, 2011 / From
April 26 to
June 5, 2011 / From
June 6, 2011 and
On-site
Participants * / € 450 / € 450 / €550
Trainees / € 350 / € 450 / € 550
Nurses / € 250 / € 300 / € 350
Accompanying persons / € 150 / € 150 / € 150

* These reduced fees are valid only for Russian participants.

C. ACCOMMODATION

Hotel Name / Category / Single Use / Double Use
Paris Marriott Rive Gauche Hotel and Conference Centre / **** / € 225 / € 250

Prices include breakfast & all taxes

Please complete the information requested:

Date of Arrival: / Date of Departure: / Nights: / No of Single Rooms / No of Double Rooms
Additional Information (e.g. non-smoking room):

D. TOURS

Description / Tour Code / Date / Cost per Person / No of persons:
Paris Panoramic - Guided Tour / HD1 / Half day operated on 09/06/2011
09.00-12.30 hours / € 35
Montmartre / HD2 / Half day operated on 10/06/2011
09.00-12.30 hours / € 33
Chateau de Versailles / HD3 / Half day operated on 10/06/2011
09.00-13.00 hours / € 55

For all excursions a minimum participation of 15 persons is required

E. TRANSPORTATION - Airport / Hotel / Airport

Arrival Date: / Flight No: / Time: / No of persons: / Airport:
Departure Date: / Flight No: / Time: / No of persons: / Airport:
By taxi (maximum 3 persons) 65 Euro per taxi per way (from Orly airport and Charles de Gaulle airports)

F. PAYMENT IN EURO

All payments should be made in EURO without charges for the beneficiary, to the order of ERASMUS CONFERENCES TOURS & TRAVEL S.A. as follows:

By Bank Transfer
Alpha Bank, Venizelou Branch, Bank Code 014, Account Number: 103-002320-000855, Account Holder: Erasmus S.A., Swift Code: CRBAGRAAXXX, IBAN Number: GR29 0140 1030 1030 0232 0000 855
By Credit Cards
Visa / Master Card / Eurocard / American Express
Credit Card Number:
Credit Card Owner’s Name:
Expire Date: / Credit Card Verification Number:

It is important that a copy of the bank transfer is sent to the Meeting Organizing Bureau, Erasmus Conferences Tours & Travel SA by fax to +30 210 7257532 or by email to together with the Registration, Accommodation and Tours Booking Form.

CANCELLATION POLICY AND REFUND

Registration: Cancellation of registration should be in writing to the Meeting Organizing Bureau. For every written cancellation received before May 15th 2011, 50% of the registration fee, will be refunded. No refund thereafter. All refunds will be made within two months after the end of the Meeting. Bank charges will be deducted.

Accommodation: Written notification is required for all cancellations and changes to your itinerary. A copy of the registration and accommodation form should be attached to the letter of notification and sent to ERASMUS CONFERENCES TOURS & TRAVEL S.A.

Cancellation received before April 30th 2011. 50% refund

Cancellation received after May 1st 2011. No refund applies

All refunds will be made within two months after the end of the Conference. Bank charges will be deducted.

Please note that respective receipts will be given to you during registration days on site