European Worm Meeting 2006
Crete, 29 April – 3 May

ACCOMMODATION FORM
 (To be sent as an e-mail message, attachment to: ewm2006@imbb.forth.gr, or faxed to +30-2810-391101)

PERSONAL DETAILS
First name:		Last name:		
						
Title:	Prof.		Dr.		Mrs.		Mr.		Gender:	Male		Female		
Affiliation:		
Street address:		
	Zip code:		City:		Country:		
e-mail address:		

ACCOMMODATION REQUEST - Please consider 4 nights accommodation for the meeting (check in: 29 April – check out: 3 May 2006)
Prices are per room / per night in bed/breakfast basis. Lunches and dinners will be served at the conference venue and the price is included in the registration fees.
	Creta Maris Hotel
(room/night)	Hersonissos Maris Hotel
(room/night)	Hersonissos Palace Hotel
(room/night)	Heronissos Hotel
(room/night)	Albatros Hotel
(room/night)	
Single / BB	95,00 Euros	70,00 Euros	70,00 Euros	50,00 Euros	45,00 Euros	
Double (two adults) / BB	108,00 Euros	80,00 Euros	80,00 Euros	66,00 Euros	54,00 Euros	
Triple (three adults) / BB	144,00 Euros	114,00 Euros	114,00 Euros	90,00 Euros	72,00 Euros	
For detailed information, please refer to the “accommodation” page of the ewm2006 website.

Dates:	Check in:		Check out:		Total nights:		
Preferred hotel:		
											
Room type:	Single		Double		Triple		Shared double		Shared triple		
Sharing participant(s) name(s):		
	I would appreciate it if the organizers could find a roommate for me		
For different accommodation arrangements please contact the meeting secretariat by e-mail, subject to availability.

PAYMENT METHODS - Your accommodation is considered confirmed ONLY when accommodation cost is deposited – Please note that reservations will be on a 'first-come-first-served' basis  
Bank Transfer [must be made without any charges for the recipient]
Bank	:	PIRAEUS BANK
Address	:	Science & Technology Park Branch, Heraklion 71110 Crete, Greece
BIC	:	PIRBGRAA
Account Number	:	GR23-0172-7550-0057-5502-4617-652
Account Holder	:	Georgia Houlaki [EWM2006 Secretary]
Don’t forget to mention your name when depositing the fees and send the remittance statement by fax to: +30 2810 391101 [c/o G. Houlaki]

Credit Card [You are advised NOT to send credit card details electronically. In this case, do not send the form as e-mail message attachment. Please submit the form by fax to +30 2810 391101 - c/o G. Houlaki]
Card type	:	VISA		Master Card		AmEx		Other			

Card number	:					-					-					-					

Valid	:	from			/			to			/			CVV*				
		M	M		Y	Y		M	M		Y	Y						
Holder’s name:		Signature:		

* CVV: The last 3 digits of the number at the back of the credit card