Room Reservation - Perfusion Downunder Winter Meeting 2008

ROOM RESERVATION

Forest View - Deluxe
$NZ190.00 per night

Conference dates 7 - 10 AUGUST 2008*

* NB: We recommend that you arrive on Wednesday 6^th August 2007 to ensure attendance for the first session starting at 1:00pm.
Rates also available 5 days pre and post conference dates.

* Required fields

* Your Name:

* E-Mail Address:

* Contact Telephone or Fax Number:

Number of Rooms required?

NB: Rates are per room per night based on double or single occupancy

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

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

Arrival Date:
Departure Date:
Do you have any special requirements?

* Calculate Total cost: ($NZ190 x number of nights x rooms required) $NZ
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% 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

2008
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Forest View - Deluxe $NZ190.00 per night

Forest View - Deluxe
$NZ190.00 per night