ENPHE SPRING SEMINAR 21st – 22nd March 2014 İSTANBUL – TÜRKİYE Seminar Venue: Hilton Garden Inn Istanbul Golden Horn Sutluce Mah. Imrahor Cad. Dutluk Sok. No:3, Beyoglu, 34445, Istanbul - Turkey Hosted by İSTANBUL BİLGİ UNIVERSITY SCHOOL OF HEALTH SCIENCES PERSO N AL IN FO RM ATIO N Family Name _____________________________________ First Name __________________________________Title__________ Name of the school___________________________________________________________________________________________ Mailing Address _____________________________________________________________________________________________ __________________________________________________________________________________________________________ Postal Code __________________ City __________________________ State _________ Country __________________ Phone ( )( ) ______________________________________ Fax( Country Code City Code )( ) __________________________________ Country Code City Code E-mail ___________________________________________ @ ______________________________________________________ REGI STRATIO N Registration fee: Before 15.February.2014 Teacher/Student After 15.February.2014 EURO 55.- EURO 65.- Fee for participant includes: ● Lunch and coffee breaks ● Seminar handouts / documentation Date of Arrival: Date of Departure: Are you going to present a poster? Time of Arrival: Hotel Name: Yes No Please return this registration form (2pages) and a copy of payment by fax or e-mail to ENPHE2014 Local Secretariat “Mr. Koray Özkan”; ENPHE2014 Local Secretariat Mr. Koray Özkan E-mail : [email protected] Tel : +90 212 219 9900 Fax : +90 212 219 6929 ENPHE2014 Local Cordinator Prof.Dr. Ferda Dokuztuğ Üçsular [email protected] +90 212 311 5502 Date: Signature Please turn the page>>>> H O TEL BO O KING & PAYM M PA YM ENT EN T FO R RM HOTEL Single Double Hilton Garden Inn Istanbul Golden Horn (Seminar Venue Hotel) Standard Park view room EURO 90.- EURO 100.- Golden Horn view room EURO 110.- EURO 120.- Santa Pera Hotel Standard room EURO 55.- Check in Check out EURO http://hiltongardeninn3.hilton.com/en/hotels/turkey/hilton-garden-inn-istanbul-golden-horn-turkey-ISTGHGI/index.html http://www.hotelsantapera.com/index.asp EURO 65.- Accompany Family Name (if needed) First Name We have limited rooms in above hotels, early booking is highly recommended Rates are valid, if the booking will be made by this form via organization company (Delano) Above rates are per room/per night, inclusive of 8%VAT and daily breakfast There will be free airport shuttle service from Ataturk Airport (IST) to Hilton Garden Inn, if you will book your hotel throughout the organization company during your registration (Shuttle time schedule will be announce on ENPHE web site) There will be free shuttle service from Santa Pera Hotel to Hilton Garden Inn during the certain time of period in seminar days (Shuttle time schedule will be announce on ENPHE web site) All prices are special discounted for ENPHE2014 Istanbul Seminar participants. • • • • • • Recommended hostel/guest house: http://www.chillouthc.com ***Please contact personally and you can make your booking directly. “Delano Turizm ve Sehayat A.Ş.” is not responsible for any complaints, incompetence or discontent) PAYM EN T All payments should be made in EURO. All prices are inclusive of VAT taxes. Please note that we do not accept Eurocheques, company cheques or personal cheques. Only VISA and/or MASTER cards will accept for credit cards payments A registration form (2pages) will be faxed or e-mail to Koray Özkan with the total amount. - Bank Transfer Account name Bank name Swift code Account no. IBAN • : : : : : Total Amount Due EURO Delano Turizm ve Seyahat A.Ş. Garanti Bank, Şişli Branch (152) TGBATRIS152 (or TGBATRISXXX) EUR 9085315 TR43 0006 2000 1520 0009 0853 15 (Totals from Sections 1-2) If you choose and make the bank transfer for the registration, please send us your bank draft copy via e-mail or fax with this registration form to complete your registration. Credit Cards (Only Visa, Mastercard) Credit Card No ____/____/____/____/ Expiry date ____/____/ Month Visa ____/____/____/____/ Master Card ____/____/____/____/ ____/____/ Year ____/____/____/____ Security Code ____/____/____ Please indicate the last digit security code on the back of your credit card • • I Hereby authorize, Delano Turizm ve Ticaret A.Ş. to debit this credit card account for the Total Amount due EURO. Sorry we can not accept American Express or Diners Date Name (as it appears on your card) Signature *** Your credit card will be charged in Turkish Lira (TL). The total amount in Euros will be converted in TL at the bank Exchange rate of the day ***
© Copyright 2024 Paperzz
