WORLD DANCESPORT CHAMPIONSHIP JUNIOR II LATIN Guadalajara, 18 – 19 October 2014 Please complete the form and send by e-mail to [email protected] or by fax +34.954.22.42.45 to VIAJES EL CORTE INGLÉS, S.A. DIVISIÓN DE EVENTOS DEPORTIVOS Should you have any questions, please do not hesitate to contact Ms. María Crespo or Ms. Angustias Bernal. TEL: [email protected] FAX: +34.954.50.66.20 E-mail: +34.954.22.42.45 Registration note: Please complete all fields in block capitals. CONTACT DETAILS FEDERATION // CLUB NAME AND SURNAME E-MAIL TELEPHONE FAX. MOBILE ACCOMMODATION SINGLE HOTEL DISTANCE DOUBLE TRIPLE BED & BREAKFAST HALF BOARD FULL BOARD BED & BREAKFAST HALF BOARD FULL BOARD BED & BREAKFAST HALF BOARD FULL BOARD 3,5 Km 58,31 € 77,14 € 95,95 € 37,41 € 56,23 € 75,05 € 36,87 € 55,18 € 73,81 € 1,7 Km 73,30 € 91,37 € 109,43 € 41,10 € 59,17 € 77,23 € - - - 3,3 Km 54,90 € 69,85 € 84,80 € 31,90 € 46,85 € 61,80 € - - - ESPAÑA 2* 2,6 Km 42,48 € 53, 87 € 65,25 € 28,57 € 39,95 € 51,34 € - - - IRIS 2* 3,5 Km 42,25 € 50,30 € 58,35 € 25,00 € 33,05 € 41,10 € 24,00 € 31,70 € 39,40 € 47,78 € 59,78 € 1,7 Km APARTMENTS (ONE ROOM) [ONLY ACCOMODATION] APARTMENTS (TWO ROOMS) [ONLY ACCOMODATION] OFFICIAL HOTEL – TRYP GUADALAJARA 4* AC GUADALAJARA4* PAX GUADALAJARA 4* APT. SEÑORIO DE MOLINA Terms and conditions: Rates per night and per person, VAT included. Reservations are subject to the hotel availability at the time of booking. All changes must be inmediately reported to Viajes El Corte Inglés. If you have any other requirements, please contact us by email. Extra charges will be paid directly to the hotel. RESERVATION ARRIVAL DATE DEPARTURE DATE NUMBER OF SINGLE ROOMS x _______ € x NIGHTS = € NUMBER OF DOUBLE ROOMS x _______ € x NIGHTS = € NUMBER OF TRIPLE ROOMS x _______ € x NIGHTS = € TOTAL SERVICES = € WORLD DANCESPORT CHAMPIONSHIP JUNIOR II LATIN Guadalajara, 18 – 19 October 2014 Pay Conditions: − − 50% of the total amount in order to guarantee the booking. st 50% before 1 October in order to confirm the booking. Cancellation Policy: Please, contact the agency regarding cancellation policy. Payment Details: q FOR BANK TRANSFER: PLEASE DO SEND A COPY OF THE TRANFER BY E-MAIL TO [email protected] or FAX 954 22 42 45 IN ORDER TO RECONFIRM YOUR BOOKING. BENEFICIARY: VIAJES EL CORTE INGLÉS, S.A. NAME OF ACCOUNT: BANCO BILBAO VIZCAYA ARGENTARIA ADRESS OF BANK: Oficina Corporativa c/ Alcalá 16 28014 Madrid SWIFT Number: BBVAESMMXXX I.B.A.N: ES97 0182 3999 3702 0066 4662 All fees derived by the bank transfer will be supported by the sender. q CREDIT CARD I authorize to Viajes El Corte Inglés to charge in my credit card the amount of ___________________Euros q q q q q CREDIT CARD NUMBER (MONTH/ YEAR) q EXPIRY DATE LAST THREE NUMBER ON THE BACK (*) ________ (Esssential) (*) In VISA and MASTER CARD are the last three numbers located at the end of the signature area and the American Express 4 digits on the right side in front. NAME OF CREDIT CARD HOLDER(CAPITAL LETTERS) PASSPORT SIGNATURE With my signature, I confirm that I have read and I accept all the conditions of this form. IF YOU REQUIRED INVOICE PLEASE Name of Company or Individual: ___________________________________________________________ Address: _________________________________________City: ________________________ Zip Code: __________________VAT Number // Passport ______________________ Notes: ____________________________________________________________________ DATA PROTECTION ACT: In accordance with the provisions of the current legislation on data protection, Viajes El Corte Inglés, SA, informs you that the personal information you voluntarily provide us will be added to a database and can be used to customer management. The customer may exercise rights of access, rectification, cancellation and opposition of the data concerning it, going for it through a reliable communication Viajes El Corte Inglés, SA domiciled at Avenida de Cantabria, n º 51, CP 28042, Madrid.