<p> 29th international meeting ARS ET FIDES – AOSTE (I), 5th - 8th April 2013</p><p>REGISTRATION FORM - ( per person ) to be sent to the secretary before 17th February 2013</p><p>Generaal Lemanlaan 22 – B - 8310 ASSEBROEK (België) [email protected]</p><p>Name & first name …………………………………………………………</p><p>Group : ………………………………………….………………………………..</p><p>Personal address : ……………………………...….………………………………….</p><p>……………………………………………………………………..</p><p>Phone : ……………………………… …… mobile : ………………………………</p><p>Mail : …………………………..……..……. @ …………….………………………………... (clear writing please)</p><p>Arrival : Day : …………………, at (about) ...………….(time) by ………………..(means of transport</p><p>Logement :</p><p> I want to stay at the Prieuré</p><p> single room  I share the room with …………………..</p><p> I want to make a reservation for extra nights …………………………………………. (fill out the dates)  I choose to stay at a hotel (and I make the reservation myself)</p><p> rates (€) please mark I pay (€) with a x dinner at the Prieuré on Friday 5th April 15,00 lodging on Friday 5th April + breakfast on Saturday 30,00 lunch on Saturday 6th April at the restaurant in Aoste 20,00 dinner at the Prieuré on Saturday 6th April 15,00 lodging on Saturday 6th April + breakfast on Sunday 30,00 festive lunch on Sunday 7th April 25,00 participation in over-all costs (bus transfers included) 26,00 x 26,00 dinner on Sunday 7th April at the Prieuré 15,00 lodging on Sunday 7th April + breakfast on Monday 30,00 excursion on Monday April 8th (lunch included) 23,00 total to be paid please check the total! next page  If you stay at the hotel, please choose one of the two below:,</p><p>Hôtel Château Di Cognein Denny & C. S.a.s. Via Libertà N°10, 11010 Saint-Pierre (AO) tel. 0039 0165 903820 fax 0039 0165 903751 www.hotelresidencechateau.com price per person per night (= night + breakfast) individual room = 49 euros; double room = 39,50 euros; triple room = 31,50 euros</p><p>------</p><p>Hôtel Saint Pierre Rue Corrado Gex 61 11010 Saint-Pierre (AO) tel.: 00 39 0165.903817 fax: 00 39 0165.903965 http://www.hotelsaintpierre.it [email protected] prices : please ask the hotel</p><p>Departure :</p><p>Day : …………………, at (about) ...………….(time) by ………………..(means of transport)</p><p>I validate my registration by paying before March 10th the amount of € …………… at Ars et Fides : account number 000-3000006-87 IBAN BE67 0003 0000 0687 BIC BPOTBEB1 Generaal Lemanlaan 22 - B - 8310 ASSEBROEK</p><p>At ………………………. on …… / …… / 2013</p><p>………………………. (signature)</p>