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Online Registration,

  Personel Information Address Information
     
 
Mr Mrs
Name :
Surname :
Title :
Occupation :
University :
Department :
 
Phone :
Mobile :
Fax :
E-Mail :
Address :
City :
Postal Code :
Country :
  Registration Fee
 
Before 31 January 2012
After 31 January 2012
ISHS Member *
350 Euro
400 Euro
Non-Member
410 Euro
460 Euro
Student **
250 Euro
350 Euro
Daily Registration  
120 Euro
   
29 April 2012
   
30 April 2012
   
01 May 2012
   
02 May 2012
       
* ISHS Member Number:    
** Students should provide any confirmation about being a student.
  Accompanying Person
 
Before 31 January 2012
After 31 January 2012

1. Accompanying Person

250 Euro

300 Euro
Mr Mrs

2. Accompanying Person

250 Euro

300 Euro
Mr Mrs
  Accommodation - Rixos Downtown Antalya Hotel 5* (Congress Hotel) (4 Nights Package)
 
 
Before 31 January 2012
After 31 January 2012
  
Single Room
400 EURO
450 EURO
Per Person in Double Room 
240 EURO
290 EURO
Per Person in Triple Room
220 EURO
270 EURO
   
Please check your check-in and check-out date.
 
Check-in Date
 
 
Check-Out Date
 
 
Stay Nights
   
  Gala Dinner (35 Euro per/person)
 
Gala Dinner person/perople
   
  Other Participant
 
If you want to share double or triple room with other participants, please check box and write the names of other participants.  
1. Other Participant (whom do you want to share your room?)
Mr Mrs  
   
2. Other Participant (whom do you want to share your room?)
Mr Mrs  
  Transfer Information
 
Airport - Hotel - Airport (dual direction and per/person)
60 Euro
Arrival :
Flight No :
Time :
From :
Departure :
Flight No :
Time :
To :
 
TOTAL EURO
%18 VAT is included in the above fees, any change in the VAT will be reflected.
  Payment Method
 
I want to pay with money transfer
Bank Name :
 Garanti Bankası
Branch :
 Yenişehir / Ankara
Branch Number :
 411
Account Name :

Bilkon Turizm (Biotech-Omics 2012)
Account Number :
 9084098 (EUR)
 
Iban Code :
 TR31 0006 2000 4110 0009 0840 98  
Swift Code :
TGBATRIS
I want to pay with credit card
Credit Card :
 Master Visa American Exp. Eurocard
Bank Name :
Credit Card Number :
Expair Date :
 /
Security Code :
IF YOU WANT TO PAY WITH YOUR CREDIT CARD, PLEASE PRINT THIS PAGE AND FAX IT TO: 0090 312 466 14 68
 
* You can contact to kongre@bilkonturizm.com with any question and information.