| Hotel
name N.
of rooms |
Double [_]
Single [_] |
| Arrival
date |
Departure |
| Formas de pago |
| Nominal
Cheque to Viajes Marsans,
S.A. | |
Transfer
to Banco
Santander Central
Hispano. Avda. Diagonal, 550.
Barcelona Cuenta: Viajes Marsans, S.A. (X
Congreso Marcadores Tumorales) Nº Cuenta 0049 0165 07
2410940162 | |
Credit
Card VISA [_], AMERICAN EXPRESS [_], DINERS CLUB [_], MASTER CARD
[_]
Name
Number
Expires |
| Signature
. | |
|
Please,
send this form to:
Viajes Marsans. Att. Ms. Ana
Bañolas Av Diagonal, 443. 08036 Barcelona
(Spain) Phone: (++34) 93 4301200. FAX:
(++34) 93 4106917 E-mail: 153@marsans.es
APPLICATION
DEADLINE: January 31th
2005
NOTE:
Only room bookings including
full payment will be
considered
|
| Cancellations
fee |
| Date |
Deduction |
| Before
January 6th, 2005 |
25 % |
| Before
January 16th, 2005 |
35 % |
| Before
January 23th, 2005 |
60 % |
| After
February 7th, 2005 |
100 % |
|