IbPRIA2003
HOTEL REGISTRATION FORM

_____________________________________________________________________________________
Name:
Email:
Phone/Fax:
 /
Company:
Address:
City:
Hotel:
Total:
 €

PAYMENT BY BANK TRANSFER TO

   
IbPRIA2003
Name of the Savings Bank:
  Banca March
Account No:
   0061 0112 46 0049980114
Overseas Transfers:
   IBAN ES45 0061 0112 4600 4998 0114
Account Code:
   C´AS MIOT S.L.
Titular Name:
   HOTEL MON PORT

A copy of the receipt of the bank remittance should be attached to the Registration Form
If you choose pay by VISA, the VISA number and the expire date should be attached to the Registration Form
Send a copy by post mail or fax of the Registration Form to the Hotel Mon Port

HOTEL MON PORT (IbPRIA2003)

Camí D'Egos
 Finca La Noria 07157
Port d'Andratx - Mallorca - SPAIN
Tlf: 34 971 23 86 23
Fax: +34 971 23 86 24

An acknowledgement of receipt will be sent to each registrant after his/her Registration Form and fee are received.