Booking form for ITPA Venice Meeting – 6–8 June 2010 – San Clemente Palace Hotel & Resort [pdf version]
Please print, tick the appropriate circle, complete and post/fax to:
Elizabeth Husband, ITPA Convention Bureau, PO Box 134, Sevenoaks, Kent TN15 6SZ, UK
Telephone: +44 1732 746688 Fax: +44 1732 746689 e-mail: elizabeth@itpa.org
O I am a member of the ITPA. Please register me for the Venice Meeting
O I am NOT currently a member of the ITPA. Please register me for the Venice Meeting and enrol me as a member of the ITPA on and subject to the provisions of the Articles of Association and to the Conditions of Membership published on the Association's website
O I am not a member of the ITPA and would like to apply for Guest membership. Please register me for the Venice meeting. I am attending my first ITPA meeting in the company of : .....................................................................who is an existing ITPA member
O Please send me information about the Gala Dinner on Monday 7th June celebrating the 35th Anniversary of the ITPA
NAME :
FIRM :
ADDRESS :


Tel :
Fax :
e-mail:
O I should like to have the set lunch / vegetarian* option
O I shall be accompanied by my spouse.
O My spouse would like an invitation to the set lunch provided for members on 7 / 8* June and would like to have the set lunch / vegetarian* option
His / her* name is: ................................................................................................... His / her* e-mail address is:
...................................................................................................
COST
Attendance fee - for bookings made and paid for after 8th April 2010 € 1550
Early booking Attendance fee - for bookings made and paid for before 8th April 2010 € 1450
Non-members only: Enrolment & annual membership subscription fee. Please add: € 575 / £510
PAYMENT METHOD [1. Credit card / 2. Cheque]
Credit cards will be debited in sterling. Payment may also be made by cheque in Euros. If you wish to pay by cheque in a currency other than Euros, please ask the Convention Director to tell you the corresponding amount.
*1. Please charge the cost of attendance / cost of attendance and membership* to my VISA/AMEX/Diners/MasterCard* in the name of: 
...................................................................................................
Card No.                                    
Expiry date:      /    
Sec. code:        
last 3 digits on signature strip ( AMEX cardholders please use 4 digits above card number)
OR
*2. A cheque for € ............................, being the cost of attendance /cost of attendance and membership* in favour of the ITPA, is attached / is in the mail*
ACCOMMODATION
O Please reserve me the following at the San Clemente Palace Hotel & Resort, Venice, for ............ nights from ............ June 2010. I shall settle all my hotel bills directly with the hotel.
O Classic room for single occupancy (€ 363 per night)
O Classic room for double occupancy (€ 407 per night)
O Deluxe room for single occupancy (€ 385 per night)
O Deluxe room for double occupancy (€ 429 per night)

Room rates are per night and include VAT and a buffet breakfast. Please note that there is an increase in the rate (€ 44 for a single room, € 55 for a double) for Friday or Saturday nights
 
 Signature.................................................................................................. Date....................................
* delete as required itpaweb/16jan2010
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