ACCOMATION FORM
II INTERNATIONAL CONGRES " HISTORIA A DEBATE"

Surname :

First name :

Address :

Town : Country :

Postal Code : Tel : Fax :

E-mail :


HOTELS

Double:
Single:
Residencia "Monte da Condesa"
6.866 Ptas.
4.321 Pts.
Residencia "El Burgo"

4.321 Pts.
Residencia "San Martín Pinario"
6.866 Ptas.
4.321 Pts.

Arrival date:Departure date:

Total nights: Accomadation cost: ( 1 )

 

At the "El Burgo" Residence, all the rooms are single.
These prices are per room and night, and include accomodation, breakfast ( only at the "San Martin Pinario" Residence) and tax


WORK LUNCHS:

4 work lunch................................................................................9.000 Pts.

A reservation has been planed at the restaurant in the Palacio the Congresos during the days 14,15, 16 and 17 of July. In case of being interested, cross and include his/her cost in the total.


PLANE TICKETS:

Plane tickets ( discounts will be arranged with IBERIA Airlines)

Day / Time ( aprox. ) of departure: Airport of departure:

Day / Time ( aprox. ) of return:

The payment will be done when Viajes Atlántico. confirm by telephone his/her reservation.


Accomodation cost ( 1 ) :

Work lunch ( 2 ):

TOTAL :

Bank cheque to VIAJES ATLANTICO, S.A.

Transfer bank to the account number : 0075 0396 72 0500008580 of BANCO POPULAR ESPAÑOL O.P.of Santiago

Credit card.
Visa Other

Nº.

Expiry date: