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Print this page and send it by fax to the hotel: +351 222 006 009 EuroLogo'2003 - Hotel Registration |
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| Personal Information | |
| Name: | ______________________________________________ |
| Address: | ______________________________________________ ______________________________________________ ______________________________________________ |
| Country: | ______________________________________________ |
| Email: | ______________________________________________ |
| Telephone or Fax: |
______________________________________________ |
Alojamento |
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| Arrival date: | ____/__/__ | Departure date: | ____/__/__ |
| Rooms: | Single (59€) | Double (64,50€) | |
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Observations:
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Payment |
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| Monney | Check |
| Credit Card VISA | Credit Card MASTERCARD |
| Credit Card AMERICAN EXPRESS | Multibanco |
Dead line for registration: |
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