* The organization will not
allocate people to double rooms. So, if you are sharing a room, please
indicate here the name (surname, initials) of the person you will be
sharing the room with.
___________________________________________________________
Date of
arrival Date of
departure Number of nights
_____/_____/____
_______/______/______ ______________
METHOD OF PAYMENT
q
By cheque # in Euros,
payable to: BETA VIAGENS
# personal cheques are not
acceptable and bank draft cheques or money orders in Euros are
accepted only when free of charges to the organisation.
q
By credit card:
VISA
q
MASTERCARD
q
EUROCARD q
Please charge my credit card
to the total amount of ____________________________€ (Euros)
Card number
________________________________________ expiration date
_______/________
Signature__________________________________________________
PLEASE FILL BELOW,
INDEPENDENTLY OF YOUR METHOD OF PAYMENT
Name__________________________________ E-mail: _____ _______ Fax
_________
Full
address ________________________________________________________________
_______________________________________________
Country_______________
PLEASE SEND TO
BETA VIAGENS
- Av. Afonso Henriques, 45 – 3000-011 COIMBRA - PORTUGAL
Phone + 351 239 402011 - Fax
+ 351 239 70 43 17
E-mail:
beta.congressos@beta-viagens.pt
Accommodations.rtf