ROOM RESERVATION



Deluxe Studio - Forest View
$NZ220.00 per night

Conference dates 7 - 10 AUGUST 2008*


* NB: We recommend that you arrive on Wednesday 6th 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:
($NZ220 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




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2008
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