8th Congress of the European Society of Contraception 23-26 June 2004

 

DELEGATE DETAILS –

Please complete a booking form for each room requested, stating names of all guests

Title: MR/MRS/MISS/DR/OTHER(please specify)                     Name:

 

Company:
Address:

 

Postal Code: Country:
Daytime Telephone Number:
Email:
Fax Number:
Arrival Date: Departure Date:
Time of Arrival: Total No. of Nights: No. of Adults:
ACCOMMODATION
If you have a preference from the allocations please indicate below:
1st Choice: 2nd Choice:
3rd Choice: 4th  Choice:
If you would like guest house accommodation please specify your requirements below:

(please note that guest house availability may be limited)

Minimum per room per night  £ Maximum per room per night  £
TYPE & NUMBER OF ROOMS REQUIRED
Single: Double: Twin:
En-Suite Room:  YES / NO Non Smoking Room:  YES / NO Parking Required:  YES / NO
CREDIT CARD PAYMENT
IMPORTANT : Your credit card number is required to secure the rooms.  Payment should be made directly with the hotel or guest house at the time of stay.  If you do not have a credit card, please contact the Conference Bureau for further information.
Credit Card Type: VISA/MASTERCARD/AMEX/DINERS/SWITCH (please specify)

(NB: Most Guest Houses do NOT accept AMEX or DINERS)

Expiry Date:
Number on Card: If using SWITCH – Issue No:
Name on Card:
Home / Postal Address:

(If different from above)

By completing this form I accept the terms and conditions of booking

If posting or faxing please sign and date below

Signature: Date:

To book your accommodation please complete the booking form and return it to:

Conference Accommodation Booking Service

Edinburgh Convention Bureau

4 Rothesay Terrace

Scroll to Top