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
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