Payment Form All-Inclusive Meeting Package PLEASE NOTE: Closing date for conference registration is August 31, 2016 Additional Nights’ Accommodations Information Please indicate here if you wish to reserve additional room nights at the Royal Hotel Carlton (before 25 October, or on and after 29 October): How many nights in addition to the meeting package do you wish to reserve? Check-in Date: Check-out Date: The meeting will reserve the additional room nights with the hotel, but please note that payment Meeting Participant in single room 1.165,00 € Meeting Participant in double room 925,00 € (Per person) Specify the name of the second meeting participant: Meeting Participant in double room with guest 925,00 (Meeting Participant) € (all inclusive guest rate) + 725,00 (Guest all-inclusive) € – Specify the name of the Tot. 1.650,00 € Meeting Participant in double room with guest 925,00 (Meeting Participant) € (Half-board guest rate) + 595,00 € (Guest half-board) – Specify the name of the guest: Tot. 1.520,00 € for these additional nights will be made by you upon check-out from the hotel. Please choose one of the two payment methods for the all-inclusive meeting package: Bank transfer BANK: Banca Popolare dell’Emilia Romagna, filiale Maranello BENEFICIARY: POLLICINO ASSOCIAZIONE PER IL PROGRESSO DELLA NEONATOLOGIA – IBAN: I T 0 5 O 0 5 3 8 7 6 6 8 2 0 0 0 0 0 0 2 5 0 0 0 0 0 BIC code): B P M O I T 2 2 X X Credit card Mark the box and you will receive an e-mail with a link for the payment. Confirmation of your registration will be sent via email by Quattro Eventi.
All-Inclusive Meeting Package Payment Form PLEASE NOTE: Closing date for conference registration is August 31, 2016 Meeting Participant in single room 1.165,00 € Meeting Participant in double room Specify the name of the second meeting participant: 925,00 € (Per person) Meeting Participant in double room with guest (all inclusive guest rate) Specify the name of the 925,00 € (Meeting Participant) + 725,00 € (Guest – all-inclusive) Tot. 1.650,00 € Meeting Participant in double room with guest (Half-board guest rate) Specify the name of the guest: 925,00 € (Meeting Participant) + 595,00 € (Guest – half-board) Tot. 1.520,00 € Additional Nights’ Accommodations Information Please indicate here if you wish to reserve additional room nights at the Royal Hotel Carlton (before 25 October, or on and after 29 October): How many nights in addition to the meeting package do you wish to reserve? Check-in Date: Check-out Date: The meeting will reserve the additional room nights with the hotel, but please note that payment for these additional nights will be made by you upon check-out from the hotel. Please choose one of the two payment methods for the all-inclusive meeting package: Bank transfer BANK: Banca Popolare dell’Emilia Romagna, filiale Maranello BENEFICIARY: POLLICINO – ASSOCIAZIONE PER IL PROGRESSO DELLA NEONATOLOGIA IBAN: I T 0 5 O 0 5 3 8 7 6 6 8 2 0 0 0 0 0 0 2 5 0 0 0 0 0 BIC code): B P M O I T 2 2 X X Credit card Mark the box and you will receive an e-mail with a link for the payment. Confirmation of your registration will be sent via email by Quattro Eventi.
Registration-Form-27th-Annual-NIDCAP-Trainers-Mtg.docx