Please copy this form to a Word document.
I'm signing up for the EQC 2009.
Name and first name: ..........
Address: ..........
Zip code and hometown: ..........
Country where you live: ..........
Nationality: ..........
Passport number (in order to check in at the hotel): ..........
The country you represent at EQC 2009: ..........
Your email address: ..........
Your telephone number: ..........
Gender: ..........
The package you wish to book:
( ) The whole weekend with hotel. € 295.00
( ) The whole weekend without hotel. € 95.00
( ) The whole weekend without hotel, but with meals. € 195.00
( ) The whole weekend with hotel and meals without quizzing. € 200,00
( ) Just the quizzes on Saturday 07 November. € 50.00
( ) Quizzes on Saturday 07 November, with meals. € 95.00
Note. Meals included are: Friday cold - and warm buffet; Saturday: Breakfast buffet, Lunch buffet and Evening Mediterranean buffet; Sunday: Breakfast buffet; Brunch buffet.
Breakfast only hotelguests.
Required accommodation:
( ) Double room
( ) Single room, surcharge € 40.00 per night
( ) I do not need room
If you request a double room, please indicate who you wish to share with. If you do not have anyone to share with, we will try to find someone?
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Is there anything else we should know?:
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Please, send this form to: eqc2009@sqon.nl