The Caucasus: Georgia on the crossroads. Cultural exchanges across the Europe and Beyond


REGISTRATION FORM

( November 2nd - 9th, 2009)

Personal information
Institute of Provenance / Company

Title
Titolo
Name
Nome
*
Surname
Cognome
*
Home Address
Indirizzo
*
Town
Città
*
Country
Paese
*
PostCode
Cap
*
Phone / Mobile
Telefono / Cellulare
*
ex: +39 055 1234567
Email
*
Passport n.
Passaporto n.
Birth date
Data di nascita
Accompanying person
Accompagnatore
Group Leader
Responsabile gruppo

Institute of Provenance/Company
Istituto di provenienza/Azienda
*
Profession
Professione
*
Address
Indirizzo
Town
Città
Country
Paese
PostCode
Cap
Tel

ex: +39 055 1234567
Fax

ex: +39 055 1234567
Email

In case of billing to the institute/company, please
fill in all the non-compulsory fields.

In caso di fatturazione all'istituzione o azienda,
si prega di compilare anche i campi non obbligatori


* required field /campo obbligatorio


Fees
    Total Price  
Artist Registration (Contemporary Georgian Art Exhibition) 
€250,00
    Total Price  
One day Fee 
€120,00
    Total Price  
Student Registration 
€150,00
    Total Price  
Delegate - On site registration 
€350,00
    Total Price  
Delegate - Registration Fee within September 30, 2009 
€250,00
    Total Price  
Poster presentation 
€30,00
Accommodations
SINGLE ROOM
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Fleming (3*) in single room 
€620,00 €620,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Fleming (3*) in double room for single use (1 person) 
€710,00 €710,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Alexander (4*) in double room for single use (1 person) 
€720,00 €720,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Alexander (4*) in single room 
€670,00 €670,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Capitol (3*) in single room 
€770,00 €770,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Capitol (3*) in double room for single use (1 person) 
€830,00 €830,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Pitti Palace (3*s) in single room 
€830,00 €830,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Pitti Palace (3*s) in double room for single use 
€910,00 €910,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Laurus (4*) in double room for single use (1 person) 
€1040,00 €1040,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Fleming (3*) in single room 
€520,00 €520,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Fleming (3*) in double room for single use (1 person) 
€610,00 €610,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Alexander (4*) in double room for single use (1 person) 
€620,00 €620,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Alexander (4*) in single room 
€570,00 €570,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Capitol (3*) in single room 
€670,00 €670,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Capitol (3*) in double room for single use (1 person) 
€730,00 €730,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Pitti Palace (3*s) in single room 
€730,00 €730,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Pitti Palace (3*s) in double room for single use 
€810,00 €810,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Laurus (4*) in double room for single use (1 person) 
€940,00 €940,00
    Total
price
Deposit
required
 
Delegate - Registration ONE DAY fee and hotel accommodation - 1 night at Viva Hotel Laurus (4*) in double room for single use (1 person) 
€240,00 €240,00
DOUBLE ROOM
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Fleming (3*) in double room 
€770,00 €770,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Alexander (4*) in double room 
€810,00 €810,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Capitol (3*) in double room 
€920,00 €920,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Pitti Palace (3*s) in double room 
€990,00 €990,00
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Laurus (4*) in double room 
€1130,00 €1130,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Fleming (3*) in double room 
€670,00 €670,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Alexander (4*) in double room 
€710,00 €710,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Capitol (3*) in double room 
€820,00 €820,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Pitti Palace (3*s) in double room 
€890,00 €890,00
    Total
price
Deposit
required
 
Student - Registration fee and hotel accommodation - 7 nights at Viva Hotel Laurus (4*) in double room 
€1030,00 €1030,00
OTHER
    Total
price
Deposit
required
 
Delegate - Registration fee and hotel accommodation - 7 nights at Viva Hotel Laurus (4*) in triple (3 person) 
€1670,00 €1670,00
Services
    Total Price  
Services PRovided 
€6211
    Total Price  
Services provided 
€9546,00
    Total Price  
Full day Excursion to Siena - November 8th, 2009 
€95,00
* required / obbligatorio
** (Max one item) / ** (Massimo un elemento)

Leave a message

RULES


Informative about personal details protection, law 675/1996


If you proceed you expressly accept th rules and the privacy policy adopted by
the website FLY-EVENTS.COM and written above.


(Press once and wait)