| Hotel Beatriz. Ctra. de Avila, km. 2.750. E-45005 Toledo, Spain Tel: (+34-25) 222211. Fax: (+34-25) 215865. |
Please book accommodation for:
| Last name: | .................................................................................................................................................. | ||||
| First name: | .................................................................................................................................................. | ||||
| Affiliation: | .................................................................................................................................................. | ||||
| Address: | .................................................................................................................................................. | ||||
| Postal code: | ........................ | City: | ......................................... | Country: | ............................................... |
| Phone: | ........................ | Fax: | ......................................... | ||
| The rates per person are: | 6.805 Pta. | (double room + buffet breakfast) |
| (7% VAT included) | 10.015 Pta. | (double room + buffet breakfast + lunch) |
| 10.540 Pta. | (single room + buffet breakfast) | |
| 13.750 Pta. | (single room + buffet breakfast + lunch) |
| Room desired: | Single | |
| Double (together with: ......................................................................................... ) | ||
| Lunch | ||
| Total: ............................... |
| Arrival date: | ............................................... | Departure date: | ............................................... |
| credit card: |
| Card holder's name: | .......................................................................................... |
| Credit card number: | .......................................................................................... |
| Expiration date: | .......................................................................................... |
| Card holder's signature: | .......................................................................................... |
| bank transfer to: Bank Name: CajaMadrid. Office address: Agen 5, E-45005 Toledo (Spain). Account name: INPARSA. Account: 6000023102; Bank code: 2038-5516-95. Fees to be charged to the participant. Please indicate participant's name in the transfer! |
| .................................................. | .................................................. | |
| Date | Signature | |