connettivi.net - partecipation form

Partecipation form

(the present card must be compiled from every single participant)

Fields with* must be filled in

Last name *
First name *
Street *

Zip *	City *
Province *	Country
Phone	Fax
Email

*Fields either Phone or E-mail must be filled in*

Accompanying
person(s)

Preferr. leaders
Data for invoice

VAT		Tax code
Notes
Name and last name of referring pers.

Port of departure Venice Bari

Fee of registration to the Convention

(Memo: the registrations will be closed on April 7^th, 2008)

Departure from Venice (1 person)

€ 800,00

Departure from Bari (1 person)

or from Venice (2 pers., per person)

€ 600,00

Type of setup on the ship:
Rates are intended for person in double box. The supplement for the single box is equal to the 80 % of the suitable fees. The under 18 (max 2 for box) don't pay fee cruise but only a fee of € 133,00 for person related to the taxes and to the insurance.
Inside box with low beds (taxes and insurance included)	€ 800,00	Sold out
External box with low beds (taxes and insurance included)	€ 900,00
External Box with balcony and low beds (taxes and insurance included)	€ 1.100,00
3° Berth adult (taxes and insurance included)	€ 600,00
4° Berth adult (taxes and insurance included)	€ 600,00


Registration fee		€
Cruise fee	n.	€
Fee under 18	n.	€
Supplement single		€
3°/4° Berth adult	n.	€
			___________________
TOTAL		€

Payment effected to mean:
Bank transfer	Check (only Italy)	Postal order (only Italty )	Online credit card

Checks and postal orders are accepted only for registration effected in Italy

General information

No registration and reservation will be accepted without the corresponding payment.

Payments by either check or postal order must be sent to:

ITALYMEETING s.r.l. - Via Parsano, 6/b - 80067 Sorrento (NA)

Bank transfer must be made without charges to the beneficiary. Bank transfer reference MUST include delegate name(s).

Bank detail: UniCredit Banca - Corso Italia 259 - 80067 Sorrento (NA) - Italy

Account number: 000003932981- CIN EUR 06 - CIN E - ABI 02008 - CAB 40260

Reference: Delegate name - Viaggiare con l'Anima

or by on-line credit card following the link on the next page.

Date:

Authorization to process data:

I, undersigned in full knowledge of the Lg. 31/12/1996, n.675, and particularly of the artts. 11,20,22,24 and 28 consent, actually to revocation written on my behalf, to the treatment and the communication of my personal data to work of the Italymeeting srl in the limits of said law. Firm that such consent remains it is conditioned to the respect of the in force normative

Yes	No
*Authorization to process data is necessary to process your request*

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