RESERVATION FORM AMiTaNS'12

JUNE 11-16, 2012, St.St. CONSTANTINE AND HELENA, BULGARIA


This form will be automatically sent from your e-mail client integrated with your browser.

Participant
Gender:
Surname:
First Name:
Second Name:
Country:
FAX:
E-mail:

Hotel
Hotel preferred:
Type of room requested:
Payment method preferred:

Share with
Name(s):

Preliminary arrival date:
Preliminary departure date: