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REGISTRATION & ACCOMMODATION FORM

Please return the completed form, together with the payment (credit card details or copy of transfer receipt issued by the bank) to Eurobiotech 2012 Agriculture Symposium PCO OfficeSerenas Tourism at fax +90.212.282 60 49 or e-mail: eurobiotech2012@serenas.com.tr PERSONAL DETAILS Title: Family Name Mobile Phone : Address: City& Postcode E-mail Invoice Address REGISTRATION
Before March 15th, 2012 After March 15th, 2012

Mr.

Ms First Name Fax : :

: : :

Country : Registered Spouse:

EBTNA Members Attendant Student Company Representative

90 100 70 50

135 150 100 75

% 10 discount will be applied to the EBTNA Members in registration fees. VAT 18% is included on the registration fees. All participants must be registered. The above registration fees include scientific meetings, meeting handbag, entrance to the exhibition areas and participation to the social activities. In order to take advantage of discounted registration fees, they must be deposited, and the registration form and proof of payments must be sent by fax or e-mail to the Organization Secretariat by March 15th, 2012. For cancellation of the registration payment made after March 15th, 2012, no refunds will be granted.

ACCOMMODATION
HOTEL NOV HOTEL IBIS HOTEL SINGLE ROOM 60 40 DOUBLE ROOM 80 48 CHECK-IN DATE CHECK-OUT DATE

TOTAL HOTEL FEE

Prices are per room, per night. Breakfast is included. 8% VAT should be added to the prices.

METHOD OF PAYMENT: Payments shall be made in Euro () . (No other currencies shall be accepted)

Payments can be made with credit cards (master card or visa) or through bank transfer. Information of Bank Transfer Account Name: Serenas International Tourism Congress Organization INC.
NAME OF BANK SWIFT CODE EFT BANK CODE BRANCH BRANCH CODE BRANCH ADDRESS HSBC BANK A.. HSBCTRIX 123 ANKARA KURUMSAL UBE 106 NERGZ SOK. BAYRAKTAR VIA TOWER K:12 STZ ANKARA 106-1026673-282 TR430012300106102667328200 106-1026673-773 TR850012300106102667377399

TL TL IBAN EUR EUR IBAN

Information of Credit Card


Visa Card No: Master Card Total Amount:

CVV Code:

Cardholders Name: Exp. Date Date of Signature: Signature:

Confirmation, Cancellations and Refunds All payments have to be made in Euro () by credit card or bank transfer. All banking costs and credit card bank charges must be paid by the participant. Written confirmation will be sent by e-mail to all registered delegates.

** Please note that hotel bookings can only be accepted and confirmed with receipt of full payment. As soon as the Organizing Secretariat has received your payment, a letter of confirmation will be sent. Confirmations will be emailed if a valid e-mail address is provided on the request. Otherwise, confirmations will be faxed or land-mailed.

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