Magyar Buiatrikusok Társasága

Magyar Buiatrikusok Társasága
1078 Budapest,
István u. 2.

Registration

Ø Hibásan kitöltött mező!
Mr. Mrs. Miss Prof. Dr.
Last (family) name:	Ø
First (given) name:
Address:	Street: City/town: Country: Postal code:
Telephone:
Telefax:
E-mail:
Name of the accompanying person:

26th Congress of the World Association for Buiatrics

Santiago de Chile, Chile
November 14 - 18, 2010

Registration fee	Before April 30, 2004	After April 30, 2004	Number of persons	Total 1 (EUR)
Delegate	150	200
Student	125	125
Accompanying Guest without programme	75	75
Accompanying Guest with one-day programme (Tokaj)	35	35
Accompanying Guest with one-day programme (Debrecen)	20	20
Totals

* Please note prices include 25% tax.
Date of arrival:
Date of departure:
Number of nights:
The double room is to be shared with:
Arrival planned by:	car train plane bus

Accommodation (prices per night and room in EUR)	Hunguest Hotel Béke ***	Hunguest Hotel Aqua-Sol ****	Cívis Hotel Délibáb ***	Number of nights	Total 2 (EUR)
Single room	48	48	28
Single room	-	-	32
Double room	70	70	37
Double room	-	-	48
Totals

* Please note prices include breakfast, 15% tax and 1,5 EUR/day as a resort tax.
Payment	EUR
Total 1
Total 2
Grand total

Methods of payment Payments will be accepted only in EUR. A copy of the bank transfer must be attached to your registration form. Banking charges are kindly requested to be paid by the participant. Settlement by: Bank remittance. Please arrange bank remittance in EUR to:
Magyar Buiatrikusok Társasága H-1078 Budapest, István u. 2. Hungary Account number: 11714006-20238465	Name and address of the bank: OTP Bank Rt H-1148 Budapest, Nagy Lajos kir. u. 19-21 Swift Code: OTPVHUHB

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