PANTERESPORTS 2016 BARCELONA, 16-18th SEP Booking Form Pax # 1 Full Name (as shown in your ID/passport) Birth Date (day/month/year) Passport / ID number & Nationality Issuing & Expiration Dates (day/month/year) Mobile Phone (with country code) Email address Panteresports 16 competition Pax # 2 Full Name (as shown in your ID/passport) Birth Date (day/month/year) Passport / ID number & Nationality Issuing & Expiration Dates (day/month/year) Mobile Phone (with country code) Email address Panteresports 16 competition 10th PANTERESPORTS BARCELONA 2016 Hotel Selection Hotel request Arrival Date (day/month/year) Departure Date (day/month/year) Room Type DBL / 1 Queen Bed TWN / 2 Twin Beds DUI / 1 Queen Bed / Single Use Form of Payment Credit Card (signed authorization form will be required) Bank Transfer (pls send email with transfer report) BANCO SANTANDER (Transfers within Spain) IBAN ES37 0049 1500 0328 1035 5229 BBVA (foreign transfers) IBAN ES97 0182 3999 3702 0066 4662 SWIFT BBVAESMMXXX Pls send this booking form as a PDF, duly filled in, to : [email protected] "The personal details included in this document are of a confidential nature and will be incorporated to a data base owned by VIAJES EL CORTE INGLÉS, S.A., with registration purposes as well as sending events, promotions or commercial information about our services which may appeal you interest. In accordance with the Organic Law 15/1999, of 13 December, the holder of this data will be able to exercise his or her right of access, rectification and cancellation by email to [email protected] on by written application to Viajes El Corte Inglés, S. A. Servicios Centrales-Dpto. de Organización y Métodos. Avda. De Cantabria, 51. 28042 Madrid.. Pls type “X” in case you refuse too receive any commercial communicatioins........
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