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         11th. EUROPEAN CARBOHYDRATE SYMPOSIUM - EUROCARB XI

             September 2 – 7, 2001, Faculdade de Ciκncias da Universidade de Lisboa, Portugal

 

                                                     HOTEL ACCOMMODATION FORM

 

Please write in capital letters or use a typewriter:

Family name:……………………………………… First name:……………………… Title: ………M/F….….

Institute or Company:……………………………………………………………………………………..…..…

Address:…………………………………………………………………….……………………………….…..

Postal Code/City:………………....Country:……..………... ….Phone…………..………………………...…...

Email:…………………………………………………Fax:……….………………………………………..…....

I would like to share the room with:……………………………………………………….…………………….

 

Please reserve on my behalf for…....nights                                   single room…… double room…….

Date of arrival:……………….                                                           Date of  departure…………………

 

HOTEL*

SINGLE ROOM

EURO (PTE)

DOUBLE ROOM

EURO (PTE)

Hotel Tivoli  (*****)

145 (29000)

160 (32000)

Hotel Sheraton  (*****)

145 (29000)

160 (32000)

Hotel Radisson S.A.S  (****)

100 (20000)

110 (22000)

Hotel Melia Confort Lisboa  (****)

135 (27000)

115 (23000)

Hotel Quality (****)

90 (18000)

95 (19000)

Hotel D. Carlos (***)

68 (13600)

78 (15600)

Hotel Eduardo VII (***)

62 (12400)

73 (14600)

Hotel Berna (***)

53 (10600)

63 (12600)

Hotel Ibis Malhoa (***)

53 (10600)

57 (11400)

Residencial Imperador (1st. category)

41 (8200)

47 (9400)

Student residence Pio XII**

28 (5600)

45 (9000)

 

*Prices are per room and per night including breakfast.

**Only for students. A letter of endorsement of the supervisor is required.

 

PAYMENT

 

·         By enclosed cheque (EURO) payable to MUNDIVISA

·         By Eurocheque

·         By bank transfer to MUNDIVISA

                                               SINIBANCO – Av. Duque d’Αvila

   Account Nr. 007600001153326210136

 

·         AMERICAN  EXPRESS …………   VISA CARD …………..    MASTER CARD ………..

     

        Card number ___________________________   Expiration date______________________

                Owner name____________________________ Authorised Signature__________________

 

 

                DATE:                                                                  SIGNATURE:

 

Please return this form, together with the payment, before May 15, 2001 to:

 

Mrs. Anabela Palma

MUNDIVISA, Campo Grande, nr. 4, 1Ί Esq.

1700-092 Lisboa, Portugal

Email : viagens-turismo@mundivisa.pt; Fax : + 351 21 7931742 ; Phone : +351 21 7937129/7934267