Participants are kindly requested to register for the Congress using this registration form. Please prepare a copy of this form and mail it or fax it completed and signed to (you are kindly advised to keep a photocopy for your own records):
MOTESZ Congress and Travel Agency Ltd. H-1443 Budapest, PO Box. 145. HUNGARY Fax: 0036 1 383 7918 OR 00 36 1 302 56 10
Title: Prof. Dr. Mr. Ms.
First Name: ______________________________
Last name: ______________________________
Place of work: ___________________________
| Address: | |
| City: _____________________________ | Street: ________________________________ |
| Post code: # _______________________ | Country: _______________________________ |
| Phone:____________________________ | Ext.: __________________________________ |
| Fax: _____________________________ | E-Mail: ________________________________ |
| Accompanying person(s) ___________________________________________________________________ | |
| Congress Gala Dinner ________________________________ 50 EURO / person | |
| Visit the so called babyfriend maternity ward ¡ ___________ I wish to participate | |
| Paid before1. Juni 2002 | After/on site | ||
| ISPPM members | 280 EURO | 300 EURO | |
| ISPPM Non members | 310 EURO | 330 EURO | |
| Accompanying persons | 110 EURO | 120 EURO | |
| Congress dinner | 50 EURO | 50 EURO | |
| Total amount | …………… |
The registration fee includes for the delegates:
Access to the Scientific Sessions and the Exhibition area, conference
bag, badge, one copy of the Final Programme and Book of Abstracts, Welcome
Party, Visit the so called babyfriend maternity ward.
The registration fee includes for the accompanying persons:
Access to the Exhibition area, Welcome Party, Sightseeing
Cancellations should be notified in writing to MOTESZ Congress and Travel Agency Ltd. Cancellation received before 15 June, 2002 will result in the full refund less a 20% administrative charge. Cancellations received after this date will not be eligible for a refund. Substitute delegates will be accepted.
| Arrival date: | …………………………………………… |
| Departure date: | …………………………………………… |
| Number of nights required: | …………………………………………… |
Deadline for accommodation booking: 30 June, 2002
| Hotel name | 1st choice | 2nd choice | Single room / night |
Double room / night |
Amount |
| Danubius Thermal Hotel**** | | | 150 Euro | 170 Euro | ………… |
| Grand Hotel Hungária**** | | | 90 Eur | 110 Euro | ………… |
| Mercure Budapest Metropol**** | | | 90 Euro | 102 Euro | ………… |
| Mercure Budapest Nemzeti**** | | | 90 Euro | 102 Euro | ………… |
| Ibis Budapest Volga*** | | | 72 Euro | 78 Euro | ………… |
| City Ring Pension*** Triple room is also available on request! |
| | 70 Euro | 90 Euro | ……....… |
| Pannonia Hotel Emke*** | | | 60 Euro | 70 Euro | ………… |
Number of Night(s) Required: . . . . x room rate + 20,-- Euro handling fee = Total amount: . . . .
If sharing room, name of the other person(s):
| 1st. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 2nd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Hotel bookings will be confirmed by return. A hotel voucher will be sent after receiving a deposit payment of the cost of one night accommodation and 20 Euro handling fee. If the deposit payment has not been received by 30 June, 2002 the booking will be cancelled automatically. If the hotel booking form will be received after 30 June, 2002 we may not be able to guarantee the requested hotel.
Sub-total Accommodation Deposit: . . . . . . . . . Euro (one night + 20,-- Euro)
| Price / Person | No. of person/s | Date | Amount | |
| 1. Budapest City Tour | 27 Euro | . . . . . | . . . . . . . | . . . . . . . |
| 2. City Tour + Parlament | 36 Euro | . . . . . | . . . . . . . | . . . . . . . |
| 3. Light and Dance on the Danube | 57 Euro | . . . . . | . . . . . . . | . . . . . . . |
| 4. Horse Show: Bugacpuszta | 83 Euro | . . . . . | . . . . . . . | . . . . . . . |
| 5. Lake Balaton | 80 Euro | . . . . . | . . . . . . . | . . . . . . . |
| 6. The Danube Bend | 64 Euro | . . . . . | . . . . . . . | . . . . . . . |
| 7. Eger Wine Region | 83 Euro | . . . . . | . . . . . . . | . . . . . . . |
| We depart with minimum 15 participants. Prices are
subject to changes! 50 % deposit payment is kindly asked. |
Total amount . . . . . . . . . . |
Sub- total Tours Deposit: EURO . . . . . . . . . .
Notifications of cancellations, changes and refund request must be submitted in writing to MOTESZ Congress and Travel Agency Ltd.
Bank transfer:
| MOTESZ Congress and Travel Agency Ltd. account number: 10300002- 20358886 -00003285 | ||
| Hungarian Foreign Trade Bank Ltd., H-1821 Budapest, Szent István tér 15 | ||
| You are kindly requested to mark the transfer with the name of the congress: ISPPM 2002 | ||
| Send me the invoice before the congress | ||
| Hand me the invoice at the site of the congress | ||
| Please take note of the fact that we do not assume the charge of bank transfer! | ||
| · We do not assume the charge of bank transfer! | ||
| Credit card: | Visa | American Express | Master Card |
| Cardholder's name: _________________________________ | |
| Cardholder's address: | |
| City, Street: _______________________________________ | |
| Post code: #____________________ | Country: _______________________________ |
| Credit card number: # _______________________________ | |
| CVV Code (at the signature):______________________ | Expiry date: __________ / __________ |
at the site of the congress
If you wish to have the invoice sent to any other address, fill out the following section:
| Name: _______________________________ | |
| City:_________________________________ | Street: ________________________________ |
| Post code: # ___________________________ | Country _______________________________ |
| Date: ______________________________ | Signature:____________________________ |
Last updated on: 12. February 2002 by A.Bischoff