Conferencia Regional IB América Latina
REGISTRATION FORM
PERSONAL INFO
Full Name
Company
Country
City
Web Page
E-Mail
Phone
Fax
Other Phone
RESERVATION INFO
CATEGORY
SINGLE
DOUBLE
"in case TPL (3 pax) or QDPL (4 pax), mark DBL occupancy
check box and make note in commentaries"
Superior
Check-in Date:
Check-out Date:
CREDIT CARD INFORMATION
NAME
(*as it appears on Your card and Your card statement)
CREDIT CARD NUMBER
EXPIRATION DATE
Commentaries
