Hotel Selection:
Please complete this form and indicate hotel and room category in order of preference (one form per registrant).
1st Choice: ___________________________
2nd Choice: ___________________________
3rd Choice: ___________________________
o Single Room
o Double Room
o Twin Room
From:________ to ________
Number of nights: _________
Payment:
(in Swiss Francs)
Hotel Deposit: CHF ____________
Total Amount To Be Paid: CHF ____________
Deposit & Confirmation:
A guarantee is required for hotel reservation, either by credit card or by bank transfer
representing one night per room. Only credit cards will be accepted after 20 February 2001. A confirmation of the reservation will be sent by MCI Congress to those who have guaranteed their booking.
Method of Payment:
(Please mark the appropriate box below)
All payment must be made in Swiss Francs (CHF) and made payable to:
OAUG Europe 2001
c/o MCI Group SA
75 rue de Lyon 1211
Geneva 13, Switzerland.
o Credit Card Payment
I authorize the charge by MCI to my credit card according to the conditions and cancellation policies below:
| oVisa |
oEurocard/MasterCard |
| oDiners Club |
oAmerican Express |
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ | _ _
Card Number Expires(mm/yy)
___________________________________________
Cardholder's Signature
___________________________________________
Print Name (as it appears on the card)
o Electronic Funds Transfer
Please find attached a copy of my bank transfer, in Swiss Francs (CHF), made payable to:
MCI Group SA - Union Bank of Switzerland (UBS),
CH Geneva 1211
Account Number: 240-369.393.00U
Swift Code: UBSWCHZH12A.
| CONDITIONS and CANCELLATIONS: In case of cancellation before 20 February 2001, deposits will be refunded less CHF 50. for administration costs. After this date, deposits will not be refunded under any circumstances. |