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PIMRC´ 2002 SEPTEMBER 15-18, 2002 LISBON - PORTUGAL Please complete this form and return to: Viagens Abreu, S.A., Congress Department Av. 25 de Abril, 2 2795 Linda-A-Velha Portugal Phone: + 351 21 415 61 22 Fax: + 351 21 415 63 83 Email: [email protected] 1. PARTICIPANT Mr. / Mrs. / Ms. (Last Name) HOTEL RESERVATION FORM FIRST NAME COMPANY NAME ADDRESS CITY COUNTRY PHONE TELEFAX E-MAIL 2. ACCOMPANYING PERSON(S) Mr. / Mrs. / Ms. (Last Name) FIRST NAME Mr. / Mrs. / Ms. (Last Name) FIRST NAME 3. HOTEL RESERVATION Arrival ___ / ___ / 2002 Departure ___ / ___ / 2002 Total nights ______ Total Rooms ______ Twin bed Single Room Double Room Single bed 1st Choice Hotel__________________2nd Choice Hotel______________________ 1 night payment included (1 st Choice Hotel)_€____________ 4. TOURS RESERVATION Tour Day Fare Per Person (€) 15/9 32,50 16/9 72,50 17/9 27,50 17/9 72,50 Number of Persons Total per Tour (€) Sintra Óbidos Old Lisbon Évora TOTAL_€_________________ 5. PAYMENT Total Remittance: 1 NIGHT HOTEL €_____(EURO) + TOURS €_____ ( EURO ) = TOTAL €_____ (EURO) PLEASE CHARGE MY CREDIT CARD: VISA ________ MASTERCARD ________ AMERICAN EXPRESS _______ DINNERS _________ Credit Card Number _____________________________________ Expiry Date_______ / ______ / ______ Owner's name ____________________________ Cvv Code (last 3 digits on the back of the card)________ Banco BPI, S.A. Centro de Empresas Porto IBAN: PT 50001000001292463000131 Bank Swift BBPIPTPL C/o Viagens Abreu, SA. BANK TRANSFER TO: In this case, please send us a copy of the Bank Transfer Date: Signature BOOKING AND PAYMENT CONDITIONS Participants wishing to reserve hotel accomodation should complete this form and return it by fax or by mail to reach Viagens Abreu as soon as possible and no later than June 30 th, 2002. After this date, we can not guarantee neither the hotels, nor the prices. Payment of 1 night accommodation must accompany this form. Viagens Abreu will send you confirmation of reservation by fax, or e-mail. All cancelations/amendments must be done in written (fax, letter or e-mail). Cancellations without penalties until July 15th, 2002. After July 16th, until August 15th, 2002, 50% cancellation fees. After August 16th, reservations will not merit a refund. Those wishing to attend one or more tours are requested to complete this form and return it by fax or by mail to reach Viagens Abreu no later than August 31, 2002, together with the tour full payment. After this date, besides no guarantees of availability, a 10% penalty will be applied. Cancellations without penalties until September 6, 2002. After this date, tour reservations will not merit a refund.
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