Santiago de Compostela, Spain - June 6 - 9, 2001
REGISTRATION
First Name :
Family Name :
Telephone / Fax:
E-mail :
Street :
P.O. Box :
City :
Country :
REGISTRATION FEES
Before March 1st
After March 1st
CONGRESS FEE (ESSR)
62.000 ptas 372,62 €
72.000 ptas 432,72 €
NON MEMBERS
70.000 ptas 420,79 €
80.000 ptas 480,80 €
JUNIOR PARTICIPANTS (<30 Years)
39.000 ptas 234,39 €
47.000 ptas 282,47 €
EASTERN EUROPE AND AFRICA
39.000 ptas 234,39 €
47.000 ptas 282,47 €
ACCOMPANYING PERSON
25.000 ptas 150,25 €
30.000 ptas 180,30 €
SOCIAL EVENTS
All the social events are included in the registratio fees. (please see the program)
Welcome reception I will attend
SI
NO
Notes:
METHODS OF PAYMENT
By enclosed Eurocheque or International cheque (in Pesetas or Euros).
By bank transfer addressed to Viajes Atlántico. Account c/c 0075-0396-72-0500008580 Banco Popular Español O.P. Santiago de Compostela. (all charges to be paid by sender)
Credit Card:
VISA
American Express
Dinner's Club
Mastercard
Eurocard
4B
6000
Number:
Expiration date:
Name in card:
CONGRESS TRAVEL AGENCY:
VIAJES ATLÁNTICO S.A - Plaza de Fuenterrabía, 3 - 15702 Santiago de Compostela
Tel: +34 981 569 030 - +34 981 569 040 / Fax: +34 981 561 951 - +34 981 572 867 -
info@atlanticocongresos.com