Welcome to Perfusion Downunder Winter Meeting 2011

PERFUSION DOWNUNDER WINTER MEETING 2011

Thursday 4th August 2011 – 6th August 2011

Hayman Island Hotel Pool

Hayman Island Resort

ROOM RESERVATION FORM
Pool Superior Room/s
$A290.00 per night

Conference dates 4th to 6th August 2011 *

* Please Note: The launch fare of $150 per person and $75 per child under 13
will be included on your invoice on departure.

These rates also available 5 days pre and post conference dates.
For more information regarding the room types please see the Hayman website

(Breakfast $35.00 per person on extension evenings / $17.50 Children under 12 )
Porterage - $7 per person

* Required fields

* Your Name:

* E-Mail Address:

* Contact Telephone or Fax Number:

Number of Rooms required?

(If applicable)
Names of Additional Guests (including children)

:Guest 1
:Guest 2
:Guest 3
:Guest 4
:Guest 5
:Guest 6

Number of Launch Tickets required?

Arrival Date:
Flight No. on Arrival in Hayman:
Departure Date:
Flight No. on Departure:
Do you have any special requirements?

* Calculate Cost of Room/s cost: ($A290 x number of nights x rooms required) $A
* Launch tickets Launch @$150 per person $A
* TOTAL $A
Please provide a credit card number to guarantee the accommodation requested, *please note the room charges will not be charged until departure.* Credit card payments will be subject to a 1.5% surcharge. Payment by Credit Card: Visa Mastercard
Card Number:
Expiry Date: Month/Year
Name on Card:

Please ensure that you have also registered for Perfusion Downunder on the Registration Link.

Please Note: Cancellation of rooms 30 - 14 days prior to arrival - one night cancellation fee per room cancelled will be charged to the individual credit card provided.
Cancellation of rooms less than 14 days prior to arrival - 100% of total room value cancelled will be charged to individual credit card provided

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ROOM RESERVATION FORMPool Superior Room/s$A290.00 per night

ROOM RESERVATION FORM
Pool Superior Room/s
$A290.00 per night