REGISTRATION & HOTEL FORM

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2

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3 –

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0

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0 Congress Village Ge.Tur.

Viale Centrale, 29

33054 Lignano Sabbiadoro (UD) ITALY

http://www.getur.com

midway (100 km) between Venice and Trieste

REGISTRATION & HOTEL FORM

Please register as early as possible, but not later than

S e p t e m b e r 1 , 2 0 1 0

S e p t e m b e r 1

, 2 0 1 0

.

The registration form shall be sent by e-mail ([email protected]), fax (+39 040 7606590)

or post (via Santa Caterina da Siena, 3 – 34122 Trieste (TS), Italy)

to QUICKLINE TRADUZIONI & CONGRESSI

w w w . q u i c k l i n e . i t

SECTION A

P E R S O N A L D A T A

LAST NAME

FIRST NAME

ADDRESS

CITY

ZIP CODE

COUNTRY

PHONE

FAX

E-MAIL

*

CODICE FISCALE

Only for Italian people

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SECTION B

A T T E N D E E I N F O R M A T I O N

NOTE: CHILD CARE (2 – 6 YEARS) AND YOUTH ACTIVITIES (6 – 12 YEARS) ARE PROVIDED, IF REQUESTED, DURING CONFERENCE HOURS.

SECTION

SECTION C

C

H O T E L R E S E R V A T I O N

DATE OF ARRIVAL

EXPECTED ARRIVAL TIME

DATE OF DEPARTURE

EXPECTED DEPARTURE TIME

MODE OF TRANSPORT

☐

PLANE

☐

TRAIN

☐

CAR

AIRPORT

☐ VCE ☐ TRS

AIRLINE

FLIGHT #

SHUTTLE BUS SERVICE ON

SEPT, 23 2010

☐ YES ☐ NO

FROM AIRPORT TO GE.TUR

SHUTTLE BUS SERVICE ON

SEPT, 26 2010

☐ YES ☐ NO FROM GE.TUR. TO THE AIRPORT

ROOMS

RATES (Euros per person)

R

ATES (Euros per person)

1 NIGHT

2 NIGHTS

3 NIGHTS

SINGLE

☐

58.00 EUROS

☐

116.00 EUROS

☐

174.00 EUROS

DOUBLE

☐

38.00 EUROS

☐

0. 76.00 EUROS

☐

114.00 EUROS

FAMILY (3-5 beds)

☐

36.00 EUROS

☐

0. 72.00 EUROS

☐

108.00 EUROS

CHILDREN 3-6 YEARS

IN FAMILY ROOM

☐

22.00 EUROS

☐

0. 44.00 EUROS

☐

0 65.00 EUROS

CHILDREN 6-10 YEARS

IN FAMILY ROOM

☐

29.00 EUROS

☐

0. 58.00 EUROS

☐

0 87.00 EUROS

NOTE:

 ONE NIGHT STAY ONLY: PLUS 20%.

 CHILDREN 0 TO 3 YEARS OF AGE (NOT COMPLETED) ARE FREE.

 CHILDREN 3 TO 6 YEARS OF AGE (NOT COMPLETED) RECEIVE 40% DISCOUNT.  CHILDREN 6 TO 10 YEARS OF AGE (NOT COMPLETED) RECEIVE 20% DISCOUNT.

CHILD

LAST NAME

FIRST NAME ADULT

AGE GENDER ACTIVITES

(

Y

/

N

)

AFFECTED BY

CYSTINOSIS (Y/N)

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RATE INCLUDES: BUFFET MEALS (BREAKFAST, LUNCH AND DINNER); TAP COLD WATER IN JUG AT DISPOSAL.

RATE DOES NOT INCLUDE: DRINKS DURING MEALS (2.50 EUROS FOR ¼ LITRE WINE, ½ LITRE WATER); MEDICAL ASSISTANCE (10.00 EUROS EACH EXAMINATION); INDOOR OLYMPIC SWIMMING POOL (ENTRY: 2.50 EUROS PER PERSON).

SECTION D

Q U E S T I O N S T O C Y S T I N O S I S C O N F E R E N C E S P E A K E R S

PLEASE LIST ALL THE QUESTIONS YOU WOULD LIKE TO ASK AT THE CYSTINOSIS CONFERENCE.

SECTION E

T R I P T O V E N I C E

T R I P T O V E N I C E (OPTIONAL)

(OPTIONAL)

TO BOOK A TRIP TO VENICE ON SUNDAY AFTERNOON, 26TH SEPTEMBER 2010, PLEASE FILL IN THE FORM BELOW.

TRIP FEE IS 78.00 EUROS PER PERSON. CHILDREN 0 TO 2 YEARS OF AGE (NOT COMPLETED) ARE FREE. MINIMUM: 30 PASSENGERS. RATE INCLUDES: BUS FROM LIGNANO SABBIADORO TO VENICE PUNTA SABBIONI AND RETURN; PRIVATE CRAFT TO/FROM ST. MARK’S

SQUARE; TOUR LEADER FOR ALL THE AFTERNOON FROM YOUR ARRIVAL AT ST. MARK’S SQUARE AND BACK TO THE CRAFT AND TOURIST GUIDE FOR 2 HOURS.

(NOTE: TOUR SUBJECT TO CANCELLATION IF THE MINIMUM NUMBER OF PARTICIPANTS IS NOT REACHED BY AUGUST 30, 2010)

HOTELS IN VENICE: HEREINAFTER SOME HOTELS IN VENICE. MORE EXAMPLES ON http://www.hotels.com/

 LOCANDAANTICAVENEZIA***,100 MT FROM ST.MARK’S SQUARE, CITY CENTRE, RATES FROM 145.00EUROS FOR A DOUBLE ROOM,BB.

 HOTELCAVALLETTOEDOGEORSEOLO****,100 MT FROM ST.MARK’S SQUARE, CITY CENTRE, RATES FROM 185.00EUROS FOR A DOUBLE ROOM,BB.  ANTONYHOTEL****,3.6 KM FROM VENICE AIRPORT, RATES FROM 123.00EUROS FOR A DOUBLE ROOM,BB.

 RUSSOTTHOTELVENEZIASANGIULIANO****,6 KM FROM VENICE AIRPORT, RATES FROM 90.00EUROS FOR A DOUBLE ROOM,BB.

SECTION

SECTION FF

S U M M A R Y

PLEASE, SPECIFY THE NUMBER OF PEOPLE (BOTH ADULTS AND CHILDREN) ATTENDING THE CONFERENCE, THEIR HOTEL RATES AND THE TOTAL FEE TO BE PAID FOR.

ATTENDEES

No.

RATES

TOTAL FEE

ADULTS

CHILDREN 3-6 YEARS

CHILDREN 6-10 YEARS

TRIP TO VENICE

78.00 EUROS

TRIP TO VENICE (0 - 2

YEARS

)

0 0.00 EUROS

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SECTION

SECTION G

G

M E T H O D O F P A Y M E N T

CREDIT CARD

PLEASE DEBIT MY

☐

MASTERCARD

☐

VISA

FOR THE AMOUNT OF

E

UROS

__________

CREDIT

CARD

HOLDER

_________________________

CARD

NUMBER

_______________________________

EXPIRY

DATE

_____________

C

ARD

S

ECURITY

C

ODE

________

DIRECT BANK TRANSFER

TO

:

B

ENEFICIARY

:

QUICKLINE

SAS

B

ANK

:

U

NICREDIT

B

ANCA

IBAN

CODE

:

IT

76 J

02008

02204

000100230804

SWIFT

CODE

:

UNCRITB1884

REFUNDS CANNOT BE GUARANTEED FOR CANCELLATIONS MADE AFTER 30 AUGUST 2010. CANCELLATIONS BEFORE THIS DATE WILL BE SUBJECT TO A HANDLING FEE OF EURO 50.00.

SECTION

SECTION H

H

P R I V A C Y

(ITALIAN

(ITALIAN ATTENDEE

ATTENDEE ONLY)

ONLY)

INFORMATIVA AI SENSI DELLA PRIVACY

AUTORIZZO IL TRATTAMENTO DEI MIEI DATI PERSONALI AI SENSI DELLA LEGGE SULLA PRIVACY DLGS 196/2003 E S.M. FIRMA PER ACCETTAZIONE _________________________________

SECTION

SECTION II

USEFUL INFORMATION

HOW TO ARRIVE TO LIGNANO

• BY PLANE

THERE ARE 3 INTERNATIONAL AIRPORTS IN THE SURRONDINGS OF LIGNANO. TRIESTE, VENICE AND TREVISO.

ARRIVAL:

A SHUTTLE BUS SERVICE WILL BE ORGANIZED FROM VENICE, TREVISO AND FROM TRIESTE AIRPORT TO GE.TUR. VILLAGE AT SEVERAL HOURS ON SEPTEMBER, 23.

DEPARTURE:

A SHUTTLE BUS SERVICE WILL BE ORGANIZED FROM GE.TUR. VILLAGE TO VENICE, TREVISO AND TO TRIESTE AIRPORTS. PUBLIC SHUTTLE BUSES ALSO CONNECT LIGNANO TO BOTH AIRPORTS:

- RONCHI DEI LEGIONARI (TS) – LIGNANO: http://www.aeroporto.fvg.it/it/come_arrivare/trasporto_pubblico/partenze/19/Lignano-Sabbiadoro.htm - MARCO POLO (VE) – LIGNANO: http://www.atvo.it/index.php?lang=it&area=25&menuid=25 www.atvo.it

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• BY CAR

REACH LIGNANO TAKING A4 VENICE - TRIESTE MOTORWAY OR A23 TARVISIO - VENICE; THE EXIT FOR LIGNANO IS LATISANA, THEN TAKE THE LOCAL ROAD N. 354 TO LIGNANO SABBIADORO.

• BY TRAIN/BUS

LATISANA TRAIN STATION IS JUST 20 KM FAR FROM LIGNANO. FOR EXAMPLE THE TRAVEL FROM MILANO CENTRAL STATION TO LATISANA STATION TAKES 4 HOURS AND COSTS AROUND 35.00 EUROS, AND THE ONE FROM VENEZIA STATION TO LATISANA STATION TAKES 1 HOUR AND COSTS 5.00 EUROS. FOR MORE INFORMATIONS SEE THE WEB SITE http://www.trenitalia.com.

REGULAR BUS LINES CONNECT LIGNANO TO LATISANA (UDINE-MUZZANA–LATISANA-LIGNANO: THE TRIP TAKES 26 MINUTES FROM LATISANA STATION TO THE STOP IN FRONT OF GE.TUR.: “V.LE CENTRALE-COLONIE”). BUSES RUNNING TIMES: FROM 8.30AM TO 8.20PM.

ON REQUEST, THE TIME TABLE WILL BE SENT BY E-MAIL.

TOURIST ATTRACTIONS IN LIGNANO

• PARCO ZOO PUNTA VERDE http://www.parcozoopuntaverde.it/english/home_en.php VIA SCERBANENCO, 19/1, LIGNANO SABBIADORO (UD)

THE ZOO PARK OCCUPIES AN AREA OF 100,000 SQ. M. SET IN A LOOP OF THE RIVER TAGLIAMENTO, AND HOSTS OVER 1,000 ANIMALS BELONGING TO 200 DIFFERENT SPECIES. RATES FROM 9.00 EUROS FOR CHILDREN (FROM 3 TO 11 YEARS) TO 12.00 EUROS FOR ADULTS. • JUNIOR PARK http://www.netanday.it/junior/

VIALE CENTRALE LIGNANO SABBIADORO (UD)

A LARGE PLAYGROUND IN LIGNANO SABBIADORO SET IN THE GREENERY WITH FOUNTAINS AND SMALL LAKES RICH IN LOCAL FLORA AND FAUNA. A PLACE FOR GAMES IN TOTAL FREEDOM AND SECURITY. QUALIFIED ENTERTAINERS WATCH AND FOLLOW THE CHILDREN AT THE GAMES.

• MINICRUISES http://www.saturnodageremia.it/