REGISTRATION FORM. Please, complete the form below and send it to the following address:

Transcription

1 1 REGISTRATION FORM Please, complete the form below and send it to the following address: CONTACT DETAILS Last Name First Name Date of Birth (DD/MM/YY) Passport Number Personal Address City / Country / Nacionality Phone number / Mobile E - Mail (indispensable) Title or Position / Institution Please tick (X) Categories for registration Until el 30/11/2015 EARLY BIRD X Since 01/12/2015 X Full Registration USD 2800 USD 3000 Congress & Accommodation in Conrad USD 1100 USD 1300 Congress only USD 400 USD 600 Accompanying person (during Congress & Accommodation in Conrad) USD 900 USD 900 Accompanying person (during Congress only) USD 250 USD 300

2 2 Registrations includes: FULL REGISTRATION: Access to Technical Tour: o Accommodation during the days of the Technical Tours: Radisson Hotel (1 night) Sheraton Colonia Hotel (2 nights) Horacio Quiroga Hotel (1 night) Casino Rivera Hotel (3 nights) San Pedro de Timote Hotel (1 night) o Lunches during the days of the Technical Tour o Transfers with snacks o Access to rural establishments CONGRESS & ACCOMMODATION IN CONRAD CONGRESS ONLY ACCOMPANYING PERSON (during Congress & Accommodation in CONRAD)

3 3 ACCOMPANYING PERSON (during Congress only) OTHER REQUESTS Transfers: Airport Hotel Airport (cost per trip) Date of arrival Day April 2016 Time(24hs) Airline Flight N Date of departure Day April 2016 Time(24hs) Airline Flight N Vehicle Type - in Montevideo Car 1 3 pax (x) Van 3 6 pax (x) Van 6 12 pax (x) Tres Cruces Bus Station or Port of Montevideo to Centric Hotels USD 18 USD 50 USD 70 Tres Cruces Bus Station or Port of Montevideo to Hotels in Pocitos/ Carrasco neighborhood USD 25 USD 35 USD 50 Carrasco International Airport to Hotels in Montevideo USD 54 USD 40 USD 30 Vehicle Type from Laguna del Sauce Airport to Conrad Hotel Car 1 3 pax USD 40 Van 3 6 pax USD 50 Van 6 12 pax USD 70 Vehicle Type from Montevideo to Punta del Este Car 1 3 pax USD 200 Van 3 6 pax USD 230 Van 6 12 pax USD 290 * Cost of transfer will be charged to contact person of this form **Please, for additional nights check availability and costs with the Congress Secretariat. Total value USD CANCELLATION POLICY For cancellations received before February 28th there will be no penalty payment. You will receive a refund, minus the cost of bank transfers and administrative expenses (approx. 10%). Does not apply refund for cancellations received afer March 1, Room reassignment to another person will be accepted up to 20 days before cech-in date. FINANCE You could pay the registration up to 2 monthly payments. Must pay as the following instructions: Until January 31st, % of Total Value Until February 28 th, % of Total Value

4 4 METHOD OF PAYMENT Method of payment: Please, tick (X) Bank transfer Personas Office Credit Card *No payments or registrations will be accepted at Venue At Personas Office: from Monday to Friday, from 8 A.M. to 12 P.M. and from 1 P.M. to 4.30 P.M. Cash: Cash or check to be payable in the same day (named to Alered S.A.) Registrations at Personas office close on Tuesday 15th March, Bank Deposits or Bank transfers: In Uruguay: Bank BBVA Account number Holder ALERED S.A. Account type Savings bank in American Dollars Branch Carrasco From abroad: Correspondent Bank WELLS FARGO BANK, N.A. SWIFT: PNBPUS3NNYC FEDWIRE: To be accredited: For the final credit to: Account: Account: Bilbao Vizcaya Argentaria Uruguay S.A. Bank Holder: ALERED S.A. Montevideo, Uruguay SWIFT: BBVAUYMM After making the bank deposit, you must send a copy of the proof of deposit and payment to: shorthorn2016@personas.com.uy Payments and registration by bank transfer close on Tuesday 15th March, With Credit Card Visa or American Express In 2 installments with an aditional of 11% of surcharge You could pay the registration up to 2 monthly payments. Must pay as the following instructions: Until January 31st, % of Total Value Until February 28 th, % of Total Value You also must complete the authorization form for the debit of the credit card for payment.

5 5 IMPORTANT - Registrations which do not come accompanied with corresponding proof of payment or downpayment will not be taken into account as completed, but pending. - Transfer or banking costs, retentions or taxes will be on the account of registrant. - For group registrations and payments, please contact us: shorthorn2016@personas.com.uy It is necessary to present the completed form to: shorthorn2016@personas.com.uy