Registration Form
Intermediate Meeting of the World Equine Veterinary Association
hosted by the World Equine Veterinary Association
and the Hungarian Association of Equine Practitioners
in conjunction with the British Equine Veterinary Association,
the World Organization of Hungarian Veterinarians
and the Hungarian Veterinary Chamber
28-29 May, 2010
Kölcsey Convention Centre, Debrecen, Hungary
Please type or use block letters and return it to Blaguss Congress Bureau
P.O. Box 42., 1364 Budapest 4., Hungay
Phone: + 36 1 374 7030 Fax: + 36 1 374 7031 E-mail: eros@blaguss-congress.hu
Personal data
Title:
Family name:
First name:
Institute:
Postal code:
Country:
City:
Street:
Phone:
Fax:
E-mail:
Registration fee
Until 23 April, 2010
From 23 April, 2010
EUR 150
On site
EUR 175
EUR 200
Prices include 25% VAT. Modifications in VAT laws might cause changes in prices.
Additional lunch and Puszta show with dinner tickets for Accompanying persons
28 May, 2010
Price/person
Lunch (13.00-14.00)
EUR 16
Puszta show with dinner
(19.00-22.00)
EUR 40
29 May, 2010
Price/person
Lunch (13.00-14.00)
Person(s)
Amount
Person(s)
Amount
EUR 16
TOTAL
Prices include 25% VAT. Modifications in VAT laws might cause changes in prices.
Accommodation (Reservation will only be made on receipt of the total cost of the stay.)
Accommodation
Single room
Double room
Triple room
Room for 4
persons
–
–
Hotel Lycium****
EUR 91
EUR 108
Hotel Óbester****
EUR 67
EUR 76
–
–
Best Western Hotel
Kálvin***
EUR 60
EUR 74
–
–
–
–
–
–
Hunguest Hotel
Nagyerdő***
EUR 44/Classic
EUR 64/Classic
EUR 52/Superior
EUR 76/Superior
Korona Pension
EUR 36
EUR 48
Play Pub House
Pension
EUR 34
EUR 46
EUR 57
EUR 72
Prices above are indicated per room, per night and include breakfast and all taxes (VAT and City tax). Modifications in VAT laws
might cause changes in prices.
1
Arrival date: ________________ Departure date: _________________ Number of nights: _______
I share my room with: ______________________________________________________________
Payments
Amount
Registration fee
Additional lunch and Puszta show with dinner tickets for Accompanying persons
Accommodation (cost of total stay)
TOTAL
Method of payment
Bank transfer
Account Holder’s name
Blaguss Utazási Iroda Kft.
IBAN number
HU91 1091 8001 0000 0005 3941 0026
Bank’s name and address
UniCredit Bank, H-1054 Budapest, Szabadság tér 5-6.
Swift Code
BACXHUHB
All charges due to bank transfers have to be paid by the sender.
Please indicate the name of the participant(s) and 2010/99909.
Credit card
VISA, EC/MC and American Express are accepted.
Please charge ________ EUR to my
VISA
EC/MC
AMEX
Card number
_________________________________________________________________
Cardholder’s name
_________________________________________________________________
Billing address of the Cardholder
_________________________________________________________________
Expiry date
________________________________
CVC Code* (only VISA and EC/MC)
*(the last three digits on the back of the credit card where the signature is)
Please note that Blaguss Congress Bureau will debit your credit card in EUR.
Please send me an invoice
Invoicing name and address:
Reference number/person:
Postal address:
Phone:
Fax:
E-mail:
EU VAT number:
I have read and accept the cancellation terms as contained on the official website.
__________________________________
Date
__________________________________
Signature
2