XXXVI INTERNATIONAL NES CONGRESS

April 8 – 10, 2009

PRESIDENTE INTERCONTINENTAL, México

HOTEL RESERVATION FORM

Name:
Last name:
Adress:
Zip Code: City:
State: Country:
Phone: Fax.:
E-mail:

 

HOTEL RESERVATION Mark with an X

   single or double room

     PRESIDENTE INTERCONTINENTAL                 öRate USD $ 80.00 + 15% vat + 2% I.S.H.ö

                                                                                              Tips to bell boys are not included   

Kind of room :              1 person - 1 bed            2 persons 1 bed           2 persons 2 beds
   

Numbers of rooms:  

  Number of persons in the room:    

   
Arrival date:   Departure date:

ONE NIGHT deposit plus taxes is required to consider your reservation. The deposit  will be credited to your account upon departure, or fill in the credit card information below, authorizing THE HOTEL to charge your credit card in case of No-Show. All payments must be in US Dlls or it’s equivalency in Mexican Pesos.

Changes and cancellations : Up to 3 weeks before the arrival date all changes will be subject to availability

Changes made one week before the arrival date will be made through B.P. Servimed.  After that date all changes will be made directly in the hotel and will be subject to availability

Changes made between 3 WEEKS AND ONE WEEK before the arrival date which result in a reduction of nights staying will incur in a USD$50.00 charge

Changes in the arrival and departure dates less than one week prior to arrival which result in a reduction of nights stayed will be considered as cancellations and will cause the total payment of onenight  which will be deducted from the initial deposit or will be charged to your credit card.

Failure to check in at the hotel on your scheduled arrival day will result in forfeiture of your reservation and hotel deposit or credit card charge. The hotel will accommodate you on a space available basis.

Early departure will result in the charge of one night’s room plus tax.

All cancellations received between 4 WEEKS AND ONE WEEK PRIOR TO THE ARRIVAL DATE will forfeit in ONE NIGHT No-Show PLUS vat.

When canceling your room reservation, please note the date and time of your call, with whom you spoke and make sure to obtain a cancellation number.

Your credit card will merely be used as a guarantee in case of a No-Show.  Except in case of cancellations, B.P. Servimed will not carry out any charges, as the charge will be made by the hotel upon arrival.

METHOD OF PAYMENT Mark with an X
Check payable to B.P. SERVIMED in the amount of                        
       Check No.                                 Bank
Credit charge in the amount of                                                         
       THE CREDIT CARD IN JUST USED A $ A GUARANTEE IN CASE OF NO-SHOW. THE CHARGE WILL BE MADE BY THE HOTEL WHEN CHECKING IN.
Type of credit card:          
Card number:                  

 Valid from: Month Year

  Expiry date: Month Year

Security code     

Number of 4 digits on the right central area of your American Express card

Number of 3 digits after your card number in the back of Master card and Visa Cards

Name of the card holder :

By this promissory note I bind myself to the order of the issuer of my credit card.  Thjis promissory note derives from the current agreement in regard to the utilization of the credit card entered into by and between the issuer and the credit cardholder and represents the warranties effected by the signer in regards to the credit which was granted.  Both the restitution of the amount disposed likewise the interests beared by the aforecited amount so be fixed are estimated upon the form, terms and conditions agreed in the referred agreement.  This promissory note shall only be negotiable through credit institutions.

Fill this form in and forward it to:

B.P. SERVIMED, S.A. DE C.V.

Barranca del Muerto 520, Col. Alpes  01010 México D.F

Tel.:    (52 55) 91.71.95.70

Fax: (52 55) 56.60.19.03

Email: otoneurology@servimed.com.mx

Web page:www.internationalcongressotoneurologymexico.com