HOTEL BOOKING FORM

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)

PARTICIPANT

Dr.          Mrs.          Ms.          Mr.

Family Name*: 
First Name*:  
Company/Organisation*:  
Department:
Address:
Zip Code: City:   Country:
Tel.: Fax: E-Mail*:

    

HOTEL ACCOMMODATION

Date of Arrival*:                          Date of Departure*:  

Number of nights*: 

Type of room*:    

Note: Check in 15:00 hrs Check out: 12:00 hrs

 

            Room Price per night    (* Excludes Buffet Breakfast,    8% VAT NOT Included)

HOTEL ACCOMMODATION IN BARCELONA Double/Twin Single
1. GRAN HOTEL PRINCESA SOFIA (5*) €170      €146
2. HOTEL ILLA (4*) €156,50 €133,50
3. HOTEL ARENAS (4*) €156,50 €133,50
4. HOTEL PEDRALBES (3*) €134,50 €116
5. HOTEL RALLYE (3*) €120 €110
6. HOTEL BONANOVA PARK (2*) €100 €85       

 

Click here to see the location and information about the hotels

Choice of Hotels*

1st choice     1         2       3       4       5       6      

2nd choice    1          2       3       4       5       6      

____________________________________________________________________________________________________________________

OTHER SERVICES

Airport Transfers in and out     Barcelona city sightseeing tours      Pre or Post Congress Tours      

Restaurants for dinner        Car rental

Other services (Please specify)

METHODS OF PAYMENT*

By Bank Transfer to: BANCO SABADELL (c/o LATITUD 4), Via Laietana 47, 08003 Barcelona, Spain IBAN: ES41 0081 0603 07 0001023008
BIC: BSABESBB

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.

See Booking and Cancellation Conditions

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