****************************** ACCOMMODATION FORM - LREC 2000 ****************************** PARTICIPANT DETAILS ------------------- 1. SURNAME:______________________________________________ 2. FIRST NAME[S]:_________________________________________ 3. TITLE/AFFILIATION:______________________________________ 4. ADDRESS:_____________________________________________ 5. TEL. No:________________________________________________ 6. FAX No:________________________________________________ 7. E-MAIL:________________________________________________ HOTEL CHOICE ------------ 8. LIST HOTELS IN ORDER OF PREFERENCE 1. ____________________________________ 2. ____________________________________ 3. ____________________________________ 4. ____________________________________ 5. ____________________________________ 6. ____________________________________ 7. ____________________________________ 8. ____________________________________ 9. ____________________________________ 10. ____________________________________ 9. TYPE OF ROOM: SINGLE......................DOUBLE....................TRIPLE.................... 10. NAMES OF ADDITIONAL ROOM OCCUPANTS (if any): ______________________________ ________________________________________________________________________________ ________________________________________________________________________________ 11. TOTAL STAY: (No OF NIGHTS) _______________________ 12. DATE OF ARRIVAL: _____________________________________ 13. DATE OF DEPARTURE: __________________________________ PAYMENT[S] ---------- 14. Payment procedure comprises of two stages: i) Deposit 30% of total accommodation cost (to be paid within 30 days upon confirmation of provisional booking) Please indicate: a] By Bank Transfer.............................................. b] By Postal or Money Order ................................ c] By Credit Card ................................................ ii) Balance (to be paid preferably by 10th May 2000 or latest on arrival) Please indicate a] By Bank Transfer ............................................ b] By Postal or Money Order .............................. c] By Credit Card .............................................. d] By Cash on arrival ......................................... PAYMENT DETAILS 15. Method of payment a. PAYMENT BY BANK TRANSFER BANK PARTICULARS ACCOUNT NAME : LREC 2000 MOEL CONFERENCES E. GRAPSA & Co E.E. 36, ELEON Str. KIFISIA , 145 64 , GREECE ACCOUNT NUMBER: 091 44023240 SWIFT ADDRESS : ETHN GRAA 091 BANK : NATIONAL BANK OF GREECE MENIDI BRANCH b. PAYMENT BY POSTAL OR MONEY ORDER TO BE SENT TO: MOEL CONFERENCES E. GRAPSA & Co E.E. 36, ELEON str. KIFISIA, 145 64 GREECE c. PAYMENT[S] BY CREDIT CARD If paying by credit card then the following text has to be sent by FAX: For each payment (i.e. either deposit or balance) not to be paid by credit card, please indicate method of payment in the respective bracket. -------------------------------------------------------------------------------- MOEL CONFERENCES E. GRAPSA &Co E.E. 36, ELEON Str. KIFISIA 145 64 , GREECE FAX No : +301 8078342 DATE: RE: LREC accommodation WE HEREBY INSTRUCT YOU TO DEBIT MY CREDIT CARD WITH THE FOLLOWING AMOUNT [S]: DEPOSIT 30% GRD ...........................................ON RECEIPT OF THIS FAX [.................................] BALANCE GRD ...........................................ON ..................... MAY 2000 [.................................] CREDIT CARD TYPE: (VISA, DINERS, AMEX etc)____________________________________ CREDIT CARD NUMBER: ________________________________________________________ EXPIRY DATE: _________________________________________________________________ NAME OF CARD HOLDER: ______________________________________________________ CARD HOLDER'S SIGNATURE: -------------------------------------------------------------------------------- In case any of the two payments, i.e. deposit or balance, is to be effected otherwise please state that in the fax above. any of the two payments, i.e. deposit or balance, is to be effected otherwise please state that in the fax above.