55th Firac Congress 15th-19th September 2016 Penta Hotel

55th Firac Congress
15th-19th September 2016
Penta Hotel
Locomotive Way
Derby
United Kingdom.
Anmeldung Enrolment Inscription
Name und Vorname
Name and Surname
Prenom et nom…………………………………….………..…… Call..............…..
Address:…………………………………………………….…………… ………….
….………………………………………………………………………………….. .
Accompanied by / Begleitpersonen / Accompagnants
Name: ………………………………….........……………………………………….
Address:………………………………………………………………………………
Anticipated time of arrival / Ankunftszeit / Heure D’Arive’e
………….
Congress price for two people sharing a double room is £390.00.
Single room occupancy for the congress is £200.00
Double Bed/Doppelzimmer/Camera Doppia …….. Single/Einzelzimmer/Camera
Singola …….
Share room with - Zimmer teilen mit - partagez avec
………………………………………………………………………...................…
...................…………………………………………………………………………
Preis Mindestanzahlung 50% bis
Rest bis
Prix Acompte minimal 50% avant le 30.04.16
Solde le 31.07.16
Return to / senden an / A renvoyer à:
Bank Account:G. Sims.
National Westminster
85 Surrey Street,
Norfolk Square,
Glossop, Derbyshire
Glossop, Derbyshire
SK13 7AJ
SK13 8BR
Hotel rooms will be reserved on receipt of the full payment.
Banking Details: Iban: GB50NWBK01033829236738
IBAN BIC: NWBKGB2L