Registration Form
UNICA2000
August 18 - August 27, 2000
Roermond, The Netherlands

For information please contact Arie de Jong.

Participants
name on badge sex

language

1.
2.
3.
4.
Street   
Zip code   City     
Country 
Telephone     
Fax   
e-mail 

Arrival date: 
Departure date: 
If dates cannot be selected, please indicate the dates in "Special wishes"
Travelling by 

Admission tickets

number 

Congress Card(s) EUR 200 EUR 
Separate tickets

number 

Participant 

Opening Banquet EUR 62.50 EUR 

Whole-day excursion EUR 62.50 EUR 

Half-day excursion EUR 42.50 EUR 

Closing Banquet EUR 62.50 EUR 

Total

EUR 

10% surcharge if payment is made after June 1

EUR 

Total admission fee

EUR 
Deposit for accommodation  
Only if accommodation is reserved.  
This deposit will be settled with the final payment of the accommodation. 
In the event of cancellation after June 1 the deposit will be retained. 		 EUR 

Total payable

EUR 

  All banking charges have to be paid by the sender! Full payment is made on 
to POSTBANK, account no: 0523303
SWIFTcode = INGB NL 2A (for Euro-Transfer)
account: UNICA2000, Dordrecht (NLD) 

Reservation of Accommodation
(All prices are per room per night)

Accommodation with breakfast

TheaterHotel De Oranjerie**** (= congress venue)
All rooms with bath, shower, toilet, TV, telephone
(Suites on request under "Special Wishes")

Single room(s) EUR 70
Double room(s) EUR 80
Triple room(s) EUR 90

 
Hotel   (within 500m from  the TheaterHotel)
All rooms with bath/shower, toilet

Single room(s) EUR 50-55
Double room(s) EUR 50-70
Triple room(s) EUR 65-90

 
Hotel   (within 500m from  the TheaterHotel)
Toilet and shower along the corridor

Double room(s) EUR 45
Triple room(s) EUR 60

 
Accommodation without breakfast

Camping (2 km from  the TheaterHotel)

Camping place(s) EUR 9/day + EUR 3 p.p.p.n.

 

Special wishes (max. 4 lines):

Go back to Admission tickets, if needed

 


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