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Registration and Hotel Reservation Form

 Participant 

 For invoice and badge 

 Registration 
ATTENDANCE TYPE Early Registration
 
Late Registration
After 2014-11-15
 EUCARPIA member fee
400 € 500 €
 Non EUCARPIA member fee
450 € 550 €
 Student fee
A proof of your statut will be asked
at the welcome of the congress.
350 € 450 €
Accompanying person 350 € per person   
Special food requirements
for Participant / Accompanying person
(eg Gluten free, Vegetarian)
No   Yes

• Registration Deadline 31 March 2015.

• Cancellation must be always confirmed in writing: Don't forget to include all your bank's information. All cancellations must be notified before 31 March 2015. All refunds are subject to an administrative fee of 75 €. After this date, no refunds.


 Taxi Transfers 
Requested transfer Rate Flight number Date and time
dd-mm-yyyy hh:mm
Airport Alicante to Thalasia Hotel 93 €    
Thalasia Hotel to Airport Alicante 93 €    
Airport San Javier to Thalasia Hotel 35 €    
Thalasia Hotel to Airport San Javier 35 €    
Murcia Bus Station to Thalasia Hotel 55 €    
Thalasia Hotel to Murcia Bus Station 55 €    

 Hotel Thalasia 

Accommodation Need hotel reservation ? Yes No

Check-in date     Check-out date 
   Room type 
   Occupant name 2 
   Occupant name 3 

• Cancellation must be always confirmed in writing to

• Don't forget to include all your bank's information. Reservation changes will only be possible before the hotel/transfer confirmation is mailed. After that, reserves the right to charge additional 25 € for reservation changes. All cancellations must be notified by 31 March 2015. After this date, no refunds are possible.


 Payment 

Only registration forms properly filled in and accompanied by their proof of payment will be processed.
Registration will only be confirmed once payment has been checked by the Technical Secretariat.

 Bank transfer (free of charges) to: VERTICE SUR

Beneficiary address:
C/ Platería 29
C.P. 30001 Murcia

Please remember to indicate on the heading/subject of the bank transfer:
"EUCARPIA15/ Family Name, Name"

Savings Bank: BMN Bank
Bank's address: Plaza de las Flores, nº 2
C.P.: 30004 Murcia
Bank account (IBAN): ES18 0487 0106 2520 0700 6274
Swift/Bic Code: GBMNESMMXXX

 Credit card (be charged a 1% additional)

Card type  
Card holder  
Card number  
Expiring date  
CVV code  CVV Security code (three last digits on the side of the signature)  

I accept terms and cancellation policy expressed in this website