Registration and Accommodation Booking Form A. PARTICIPANT DETAILS Title: Prof. Dr. Mr. Mrs. Other Degree PhD Other *Surname: *First Name: *Institution: * Department: *Postal Address: *Postal Code: *City/State: *Country: *Telephone: Fax: *E-Mail:

B. REGISTRATION Registration Category EARLY/ Until July 31, 2016 LATE & ON SITE / From August 1 and onwards HUA Members 150 € 200 € Non HUA Members 200 € 200 € Trainees, Residents 75 € 100 € Nurses, Students Free

C. ACCOMMODATION Please select the first and Single Use Double Use second choice of the hotel: (per night) (per night) HOTEL RODOS PALACE Central Tower (garden view) € 110 € 130 Central Tower (sea view) € 125 € 145 Executive Wing (garden view) € 125 € 145 Executive Wing (sea view) € 140 € 160 Garden apartments € 140 € 160 SHERATON RHODES HOTEL € 120 € 140 *The above prices include all legal taxes and breakfast. Minimum stay of 3 nights is a prerequisite (20-23 October 2016).

Please complete the information requested: Date of Arrival: Date of Departure: Nights: No of Single Rooms No of Double Rooms

Additional Information (e.g. non-smoking room):

F. PAYMENT IN EURO For every room reservation, a deposit of 50% is required. Full payment of accommodations should be made until 31 August 2016. Accommodation reservations confirmations will be sent only after receipt of the 50% deposit and all relevant receipts will be delivered to delegates while registering on-site. Payments by bank transfer should be made in euro, without charges for the beneficiary, to the order of ERASMOS TOURISTIKIES EPICHIRISIS AE, and in the following bank account: By Bank Transfer* Payments by bank transfer should be made in euro, without charges for the beneficiary, to the order of ERASMOS TOURISTIKIES EPICHIRISIS AE, and in the following bank account: EUROBANK CYPRUS LRD, IBAN No CY50018000010000200100279156 SWIFT CODE: ERBKCY2N, Account holder: ERASMOS TOURISTIKIES EPICHIRISIS AE *It is important that a copy of the bank transfer receipt is sent to the Congress Organizing Bureau by fax at +30 210 7257532 or by e-mail to [email protected] By Credit Cards Visa Master Card American Express Maestro Credit Card Number: Credit Card Owner’s Name: Expire Date: Credit Card Verification Number:

Cancelation Policy Registration: Written notification, sent to ERASMOS A.E.. is required for any cancellation or change to your Registration. 50% refund will be made, for any written cancellation until July 31st, 2016. From August 1st, 2016 and onwards, no refund will be granted. All refunds will be made within two months after the end of the Congress. Bank charges will be deducted. Διαμονή: Written notification, sent to ERASMUS A.E. is required for any cancellation or change of your accommodation. 50% refund will be made, for any written cancellation until August 31st, 2016. From September 1st, 2016 and onwards, no refund will be granted.

Please note that respective receipts will be sent to you by email at the address advised for communication.