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REGISTRATION - ACCOMMODATION & TOUR BOOKING FORM

Title:
Degree:
* First Name:
*Family Name:
*Institution:
*Department:
*Postal Address:
* Postal Code:
*City:
*Country:
Telephone:
Fax:
*E-Mail:
Accompanying Person(s):	1.
	2.

REGISTRATION FEES


Please tick the appropriate
box(es)

Until May 31^st, 2007

From
June 1^st, 2007

until July 31^st, 2007

From August 1^st, 2007

& On site

Participants

€ 300

€ 400

€ 500

Trainees

€ 200

€ 300

€ 400

Accompanying persons

€ 100

€ 100

€ 100

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HANDS ON TRAINING WORKSHOP

Please choose your preference:

Laparoscopy Workshops

Please select the first,second,third and forth choice of the Sessions:


First Choice:
Second Choice:
Third Choice:
Forth Choice:

Ureteroscopy Workshops

Please select the first,second,third and forth choice of the Sessions:


First Choice:
Second Choice:
Third Choice:
Forth Choice:

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HOTEL ACCOMODATION

Rates inclusive of buffet breakfast and taxes

HOTEL	SINGLE RATE	DOUBLE RATE
Astir Palace Vouliagmeni (Nafsika building)	€ 225 including breakfast	€ 255 including breakfast
Astir Palace Vouliagmeni (Arion building)	€ 240 including breakfast	€ 270 including breakfast
Divani Apollon Palace (Superior Rooms)	€ 190 including breakfast	€ 200 including breakfast

Please complete the information requested:

Date of Arrival:	Date of Departure:	No of Nights:	Single Room	Double Room

Please select the first, second and third choice of the hotel:

First Choice:
Second Choice:
Third Choice:
Additional Information (e.g. non-smoking room):

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TOURS

Description	Tour Code	Date	Cost per Person	Persons
Half day Athens City Tour	HD1		46 €
Half day Tour to Cape Sounion	HD2		33 €
Full day Tour to Delphi	FD1		82 €
Full day Tour to Argolis	FD2		82 €
Full day Cruise to Saronic Gulf Islands	FC1		85 €

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TRAVEL INSURANCE

No of Persons	Cost
No Travel Insurance required	0 €
Insurance for 1 person	10 €
Insurance for 2 persons	20 €
Insurance for 3 persons	30 €
Insurance for 4 persons	40 €
Insurance for 5 persons	50 €

For further information regarding travel insurance please click here.

CANCELLATION POLICY

Registration Fee: Cancellation of registration should be in writing to the Congress Organising Bureau. For every written cancellation received before July 31, 2007 the full amount received, 50% of the registration fee will be refunded After July 31, 2007 no refund applies. All refunds will be made within two months after the end of the Congress. Bank charges will be deducted.

Hotel Accommodation and Tours: Written notification is required for all cancellations and changes. A copy of the accommodation and tour booking form should be attached to the letter of notification and sent to ERASMUS CONFERENCES TOURS & TRAVEL S.A. Refunds will be made as follows according to the postmark on the notice of cancellation:
HOTEL (refund per person)

Up to and including June 30th, 2007, 50%

After July 1st 2007, None

TOURS (refund per person)

Up to and including July 31st, 2007, 50%

After August 1st 2007, None

All refunds will be made within two months after the Congress; bank charges will be deducted.

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METHODS OF PAYMENT IN EURO - Please tick the appropriate box(es)

Paymend should be made in EURO without charges for the beneficiary as follows:

By bank transfer to the order of ERASMUS CONFERENCES TOURS & TRAVEL SA., Alpha Bank, Venizelou Branch, Athens, GR Account No: 103 002320 000855 Swift Code: CRBAGRAAXXX Iban Number: GR29 0140 1030 1030 0232 0000 855

If payment is made by bank transfer, please enclose a copy of the bank transfer voucher. Please mention your name and the meeting name on the bank transfer

By credit cards

MASTERCARD EUROCARD VISA
Credit Card Number: - - -
Credit Card Verification Number : The Card ID or Card Verification Number is a 3 digit code found on the back of your credit card. Click here for more information.
Holder Name:
Expire Date: -

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