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HOTEL BOOKING FORM |
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Please type or use BLOCK LETTERS (one room per reservation) - Please make sure to keep a copy for your own records. DO NOT SEND THIS FORM TO AOSPINE Return this form to: LATITUD 4 Destination Management - Attn. Mr. Eduardo Subirats Plaza Urquinaona, 6, 15a Planta – 08010 Barcelona, Spain Tel.: +34 607 977 046 - Fax: +34 93 304 32 44 - E-Mail: e.subirats@latitud4.com (USE THE "SEND" BOTTON) |
Any bank transfer fees will be on attendees account in order that we receive the payment correctly for the total amount.
Please refer to Global Spine Congress 2011 on your bank transfer. (Please attach a copy of transfer to this form).
Please guarantee my reservation with the following credit card:
Eurocard/Mastercard American Express Visa
Cardholder’s Name:
Card N°: Expiry date: C.V.C.*:
*I hereby authorise LATITUD 4 to charge to my credit card deposits, cancellation or penalties and confirm that I have read, understood and accepted the reservations, deposits, cancellations and reduction conditions.