Club Rotario Tampico

¡Patrocinadores!

Instituto Rotario

Online Registration

ONLINE REGISTRATION

Name
Last Name
Rotary Club
Club
District
Classification:
Charge
Partner Name
Last Name
Partner Badge Name
Address
City:
Province
Country
Phone:
E-mail:/Fax
Expected Arrival Date
Expected Departure Date

Would you like to participate in programmed Family dinners for the night of Wednesday 14?	Yes		No

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HOTEL BOOKING

Choose the hotel where you would like to stay. It is necessary to send the deposit of one night through the registration committee of the event to confirm the reservation. You can do so through bank deposit or provide your card details. We'll proof of reservation.

"Rates per day"

GETS Y GROUP. SAN ANTONIO

Hotel Camino Real $95 Dlls plus taxes Reserved ROTARY ZONE INSTITUTE-RESERVED

	Hotel Hampton Inn $ 85.00 Dlls plus taxes Breakfast included RESERVED

	Hotel Posada de Tampico $ 65.00 Dlls plus taxes Breakftast Buffet $9p dlls. plus taxes

	Hotel Holiday Inn Express Tampico $ 70.00 Dlls plus taxes Breakfast included

	Hotel Fiesta Inn $ 65.00 Dlls plus taxes Breakftast Buffet $ 9p dlls. plus taxes

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EVENTS

Indicate the activities in which you are going to participate

GETS 2010-2011

October 12th to 14th, 2009

Rotarian$100.00 us dls.

Partner $100.00 us dls.

It includes registry, materials, coffee breaks, Local transportation (It does not include foods or lodging)

GETS INSTRUCTORS

October 12th to 14th, 2009

Rotarian $150.00 us dls.

Partner $150.00 us dls.

It includes registry, materials, coffee breaks, Local transportation (It does not include foods or lodging)

PRIVATE LUNCH "CHALLENGE OF POLIO "
A contribution of greater donor to the Rotary Foundation
will be raffle between the participants
October 15th October 2009

Partner $100.00 us dls

SAN ANTONIO GROUP 2010-2011

October 18 to 19, 2009

Rotarian $60.00 us dls.

Partner $60.00 us dls.

It includes registry, materials, coffee breaks, Local transportation (It does not include foods or lodging)

ROTARY ZONE INSTITUTE

October 18 to 19, 2009

Rotarian $300.00 us dls.

Partner $120.00 us dls.

It includes registry, materials, coffee breaks, Local transportation, dinner on Thursday 15th, lunch and dinner on Friday 16th and dinner on Saturday 17th. (It does not include foods or lodging)

	Subtotal $

	Total $

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PAYMENT INFORMATION:

Bank Deposit:
Banco BBVA Bancomer
Account Number 0166903398
CLABE: 01258000166903398 3

Credit Card

	Master Card		Visa

Credit Card Number
Expiration date
Security Code
Name on Credit Card
Name (as it appears on card)
Credit Card Billing Street Address
City
Zip Code
State

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