Accommodation Form International Congress on Mycotoxins and

Congrès International
Mycotoxines et Cancer
Accommodation Form
International Congress on Mycotoxins and Cancer
Marrakech Ryad Mogador Agdal from 2nd till 4th
December 2015
Thank you for sending this form to Executive tours
executive.master@gmail.com
Phone :(+212) 537 77 77 64 Fax : (+212) 537 77 77 69
1/Personal Informations
Family Name :……………………………………First Name…………………………………...
Company :……………………………………………………………………………………….
Address :…………………………………City:……………… Country …………………..
Phone:…………………… Fax………………………..Email………………………………
Rates are in Moroccan Dirhams
2/ hotel room rates (including breakfast)
All hotels are 5 minutes walking to the venue of congress
Hotels
Single room
Les jardins de l’Agdal
Ryad Mogador Agdal (venue of congress)
Palm Plaza
Ryad Mogador Kasbah
950,00
875,00
750,00
520,00
Double room
1.200,00
1.100,00
950,00
740,00
Tax and Tourism promotion: 28,60
Hotel :…………………………………………type of room………………………………………
Check in :……………………………………..Check out:…………………………………………
3/Welcome and transfer
Arrival date:
Departure date:
N° flight :
N° flight :
Arrival time :
Departure time :
Airport arrival :………..………
Airport departure:………………
Congrès International
Mycotoxines et Cancer
Rates are in Moroccan Dirhams
Transfer airport /hotel Marrakech price per person, per way : 120,00
I require this service :
Arrival only :
Departure only :
Arrival and departure :
yes
yes
yes
yes
No
No
No
No
Rates are in Moroccan Dirhams
4/Social program (price per person)
Minimum 4 persons required for program
1/Half day sightseeing Marrakech, the main monuments,
120,00
yes
No
2/Half day sightseeing Marrakech souks, place Djemaâ El Fna,
120,00
yes
No
3/Excursions Asni Ouirgane with lunch,
600,00
yes
No
4/Excursion to valley Ourika with lunch,
600.00
yes
No
5/One day trip to Ouarzazate with lunch,
700.00
yes
No
6/One day trip to Essaouira with lunch,
700.00
yes
No
5/ Payment details
To Executive Tours
By wire transfer (No cost for the agency)
A copy of the bank transfer is kindly requested
Congrès International
Mycotoxines et Cancer
By credit card
Please perform the following information
ˈ MasterCard
ˈ Visa
Holder name ….……………………………………………………………….
N° card…….…………………………………………………Code …………………………….
Date of expiration :……………………………………………………………….
Amount to debit:……………………………………………………………….
Note:
The prices are in Moroccan Dirhams . (Actual exchange rate about 10,50 moroccan Dirhams for one Euro)
The payment of one night is required to confirm the booking. The rest should be settled before arrival
Signature
Cancellation Policy
Before October 31st : A total refund will be provided with a deduction of 25% for expenses
After October 31st : No refund will be provided