Logo

The 2nd World Congress on the Aging Male

 

Home Page

Organizers

Welcome Note

Topics

General Information

Accompanting person'd Program
Accommodation

Accommodation & Tour form

Registration Form

Guidelines for the submission of abstracts

 

ACCOMMODATION FORM

Please fill the form below and press the send bottom or AIRMAIL to:
The Secretariat
2nd WORLD CONGRESS ON THE AGING MALE
KUONI CONGRESS
54, Rue de Lausanne
CH-1202 Geneva, Switzerland
Tel: +41 22 908 1855;
Fax: +41 22 908 1835;
E-Mail: agingmale@kuoni.ch
You may also download a PDF file with the form.

Identification
Please complete this section accurately; the information you provide will allow us to correspond with you efficiently, and will also be used on your delegate badge at the Congress.
Field marked in red are required.

Participant
Family Name
First Name
Title
Department
Institution
Mailing Address
No.
Street
Suite/Apt.
City
State/Province
Postal Code
Country
Telephone: (office hours)
Country code/city code/number
Fax:
Country code/city code/number
E-Mail:
Accommodation
SINGLE ROOM DOUBLE ROOM BREAKFAST
HOTEL *****
Intercontinental
(H.Q. Hotel)		 CHF 280.- CHF 295.- Included
Noga Hilton CHF 285.- CHF 295.- Included
HOTEL ****
Cornavin CHF 185.- CHF 215.- Included
De Berne CHF 190.- CHF 220.- Included
Suisse CHF 195.- CHF 265.- Included
HOTEL ***
Cristal CHF 140.- CHF 180.- Included
Strasbourg CHF 190.- CHF 210.- Included
First Choice
Second Choice
Name(s) of Accompanying Person(s)
Check in date 
Check out date
Total night(s)
Arrival By: Car         Train
Flight No.at hrs
ACCOMPANYING PERSON(S) TOURS
Tour No.of people
The Old Town and Visit to the Zoubov Collection
Olympic Museum in Lausanne and Wine Tasting
OPTIONAL TOUR
Bern, Capital of Switzerland and Morat  (CHF 120-)

Payment
Please indicate amount enclosed and ensure that your fully completed accommodation form is sent together with your payment:
Method of Payment

Payment by bank transfer is being made to:
THE AGING MALE 2000
Credit Suisse Geneva
Bank Account # 4251-380629-41
Swift: CRESCHZZ 12A

Bank cheques or Eurocheques are acceptable, however personal cheques will not be accepted.
* Payment by cheque, made payable to:
The Aging Male 2000
C/O KUONI CONGRESS
54, Rue de Lausanne
CH-1202 Geneva, Switzerland
Cheque No.
Bank

In order to guarantee your room, please give your credit card number and expiry date.
Please note credit cards will be charged in Swiss Francs.
Option 1: Credit Card - Payments will be charged in US$
Visa  MasterCard  Eurocard  Diners  American Express
Number
Expiration Date (month/year)
Name as shown on card:
Surname
First Name
Signature (printed form only) __________________________
Date (day/month/year)(printed form only)_________________________

 

This site was designed by atartica.gif (1865 bytes)