Participant - 1

*Professional Activity:
*Full Name:
Institutional address:
Address:
City:
Postal Code:
*Country:
*Tel:
Fax:
*E-mail:
*VAT number
(for receipt):

* Compulsory

  Registration - 2

Type of registration Until 31/07/2012 After  1/08/2012
Normal € 100.00 € 120.00
Student  (please send proof) € 50.00 € 70.00
Screenwriting Workshop € 50.00 € 50.00


  Accomodation - 3

Hotel    Room Type
Special Request  
 
Arrival: / /12 (dd/mm/yy) Departure: / /12 (dd/mm/yy)  

Hotel Category Single Double
Hotel Radisson  Blu **** € 70.00 € 80.00
NH Campo Grande **** € 69.00 € 79.00
Hotel Alif Campo Pequeno *** € 60.00 € 65.00
Hotel Vip Zurique *** € 55.00 € 65.00
Prices per room, per night, including breakfast, service charges, taxes and VAT.

Hotel reservation availability and conditions

- Rooms are guaranteed for bookings received untill 7th October 2012.
- After 7th October, bookings will depend on the hotel availability.
- Requests by telephone will not be considered.
- Changes or cancellations to reservations will only be considered when made in written, by email to mbacalhau.lisboa@abreu.pt or fax: (+351) 21 415 6383

Cacellations for Hotel reservation

Cancellations until 7th October will have a cancellation fee of 50%.

Cancellations after 7th October will not be refunded



  Congress Dinner - 4

Congress Dinner Yes No
€ 30.00 per person



  Payment - 5

Credit Card
Name:
Card Number:
Expiry Date:
/ (mm/yy) CVV: (Security Code 3 last digits on the back of the card)

Bank Transfer To:
In this case, please send us a copy of the Bank Transfer Slip.

To: Viagens Abreu, S.A.
Bank Name: Banco Millenium BCP
Bank Address: Direcção Corporate Norte 2, R. Júlio Dinis 713, 2º Andar, 4050 - 320 Porto
SWIFT – BCOMPTPL
IBAN – PT50 0033 0000 00000231320 83
NIB – 0033 0000 00000231320 83


To Confirm and submit your registration, please follow the guidelines carefully.

"Send" to confirm and submit your registration
2. Or, in case you prefer, just "Print" this page and fax it to:

Viagens Abreu - Maria Jesus Bacalhau
Av. 25 de Abril 2 - Edifício Abreu 2799-556
Linda-a-Velha - Portugal
Departamento de Congressos
E-Mail: mbacalhau.lisboa@abreu.pt
Fax: + 351 21 415 63 83