| Contact Details : |
| Title:* |
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| Name:* |
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| Surname:* |
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| Position: |
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| Address:* |
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| Postal Code:* |
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| City:* |
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| Country:* |
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| Telephone:* |
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| Fax: |
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| E-mail:* |
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Accompanying Spouse (if applicable): |
Name: |
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Surname: |
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| Special
Requirements (dietary or physical): |
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| Registration
Fee:* |
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Notes:
* The registration fees for participants includes: attendance to all sessions, access to the exhibition area,
coffee breaks, conference bag, book of abstracts and certificate of attendance.
** The registration fee for the accompanying persons includes and coffee breaks. |
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| Flight
Details: |
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Flight Details are needed only for organizational purposes. |
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| Hotel
Accommodation: |
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Social Programme |
For organizational purposes, please indicate the social events you would like to attend: |
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| GRAND
TOTAL: |
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| FORMS
OF PAYMENT: |
| Credit Card: |
VISA
MASTERCARD |
| I hereby authorise TOP KINISIS
TRAVEL LTD to charge the equivalent of the GRAND TOTAL in Euros to the credit card below: |
| Credit Card Number: |
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| Expiry Date: |
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| Name of Cardholder: |
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| If you are unwilling to provide
your credit card information online, please fill this form, print
it and fax it to the Conference Secretariat at: +357 22 869 735 |
| Bank Transfer to: |
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| Account Details: |
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Top Kinisis Travel Public Ltd
Bank of Cyprus, Corporate Service Center Nicosia
P.O.Box 21472, 1599 Lefkosia (Nicosia), CYPRUS
A/c no. 0199-40-000249-48
IBAN CODE:
CY02 0020 0199 0000 0040 0002 4948
Swift Code:
BCY PCY 2N
(Please fax your bank transfer copy to the Conference Secretariat
at: +357 22869735) |
IMPORTANT NOTE: The participants themselves must pay all banking charges. The organisers need to receive the net amount of the participant’s grand total. Please ensure that the participant’s name, address and Conference name are stated on all payment and transfer documents. |
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| Cancellation Policy ( Hotel Accommodation) |
Registration: Cancellations before the 1th of October 2010: 50% of fee will be refunded. Cancellations received after the 2th of October2010: fee non-refundable.
Accommodation: Cancellations before and on the 5th of October 2010: 50% of fee will be refunded. Cancellations received after the 5th of October 2010 and no show participants: fee non-refundable.
Cancellations must be submitted in writing to the Conference Secretariat in order to receive any possible reimbursement. |
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| ADDITIONAL
INFORMATION: |
For further inquiries please contact the Conference Secretariat:
TOP KINISIS TRAVEL PUBLIC LTD
2 Leonidou & Acropoleos Ave., 2007 Strovolos
P.O.Box 27031, 1641 Nicosia, Cyprus
Tel.: +357 22713719, +357 22713760
Fax: +357 22869735
E-mail: yiola.s@topkinisis.com
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