East meets West 2013

1. Selection > 2. Validation > 3. Confirmation

Fields marked with an asterisk (*) are mandatory.
Click the "preview" button at the bottom of the page when you are finished to proceed to step 2

 




Participant information

Mr/Ms*
First name*
Last name*
Organisation/Company*
Postal address*
ZIP/postcode
Town/City*
Country*

if other, please specify


Telephone*
please include country code
Fax
please include country code
e-mail*

Hotel reservation


Detailed information about the hotels is available on the hotel page


Preferred hotel
 
Room   Single room          Double room
 
Number of persons:
 
Arrival date
April 2013
Departure date
April 2013
 
Credit card type
Credit card holder
Credit card number
Expiry date
Month: Year:


  By accepting the transmission of your credit card data you explicitly accept the transfer of your
        data to the hotel.


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