ChE 2002 November 8 -12 Pucón - Chile PROGRAM TOPICS PROGRAM REGISTRATION FEES  GENERAL INFORMATION CHILE INFORMATION  HOTEL ACOMODATION REGISTRATION FORM CALL FOR ABSTRACTS  HOTEL RESERVATION Secretariat Last update: 05.03.2002         Diseño O. Giordano        RETUR TO TOP

VIIth International Meeting on Cholinesterases November 8 -12 - 2002 - Pucon - Chile HOTEL RESERVATION FORM PLEASE FAX THIS SIGNED FORM TO: ELISEO O. CAMPOS MOLECULAR NEUROBIOLOGY UNIT FONDAP-BIOMEDICINE P.O. BOX 114-D SANTIAGO &emdash; CHILE FAX: +56 2 686 2959 Please complete this form in capital letters. You will receive a e-mail confirmation of the requested registration. Name:.......................................................... Last Name:.............................................................................. Title:................................................ Affiliation:.......................................................................................... Address:.................................................................. Phone:............................. Fax:.................................. City:............................... Country:................................ e-mail:.................................................................. Accompanying persons:.............. Name(s):............................................................................................. HOTEL ACOMODATION Number of persons Amount Single Room US$ 420 ........................ US$........................ Double Room US$ 320 ........................ US$........................ Aditional Night in Single Room US$ 77 ........................ US$........................ Aditional Night in Double Room US$ 55 ........................ US$........................ These prices, per person,include 4 nigths in the Grand Hotel Pucon, Welcome Reception, Meals (breakfast, lunch and dinner) and Coffee Break, Lunch in Coñaripe Hot Springs, Farewell Dinner and Party. Payment of the total amount will be by credit card (only signed authorization will be accepted). VISA, MASTERCARD or AMERICAN EXPRESS. Card Type:............................. Card Number:...................... Expiration Date:........................ Name Printed on Card:.............................................................................................................................. Authorized signature:........................................................... Date:......................................... Or RUT (only Chilean citizens) || Program Topics||  Timetable ||  Registration Fees||  Information || || Chile Information  ||  Contact ||  Hotel Acomodation || Call for Abstracts ||  Home  ||