SEVENTH BIENNIAL CONGRESS OF THE ASIAN SOCIETY OF HEPATO-BILIARY PANCREATIC SURGERY AND SECOND BIENNIAL
CONGRESS OF INDIAN SECTION OF INTERNATIONAL HEPATO-PANCREATO BILIARY ASSOCIATION |
ACCOMMODATION FORM |
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PERSONAL INFORMATION | |||
Please tick any | Prof. Dr. Mr. Ms | ||
Name | |||
Institution | |||
Address |
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Tel. Home | Tel. Office | ||
Fax | |||
HOTEL ACCOMMODATION INFORMATION |
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Name of Hotel | 1st Choice : | |
2nd Choice : | ||
3rd Choice : | ||
Preference | Single Double Twin |
REQUIREMENT |
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_________ (numbers) room for |
____________ (number) night |
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Check-in (time) : | Carrier & Flight No. : | From (Place) : |
Check-out (time) : | Carrier & Flight No. : | to (Place) : |
HOTEL RESERVATION/DEPOSIT REQUIREMENT |
Hotel Reservation form should be accompanied by payment for one days Hotel charges and addressed to : PROF. B. KRISHNA RAU 7th Congress
Of ASHBPS 2003 Tel: 91-44-28473577,28473777 Fax:
91-44-28473804 |
Hotel Tariff Chart |
Tariff Range |
5 DAYS 4 NIGHTS PACKAGE | |
5 Star Category | US$ 140-180 | Single US$ 460 Double US$ 500 Inclusive of Taxes & Breakfast only thro' Conference Secretariat |
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First Class Category | US$ 90-110 | ||
Budget Category | US$ 50-60 |
LOG ONTO WEBSITE FOR FULL DETAILS
The Room Tariff mentioned above : |
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All refunds will be made after the Conference |
(Signature) |
DEADLINE FOR HOTEL: RESERVATION JULY 1, 2003 |