Please complete this form and return with payment to :
Viagens Abreu S.A., Congress Dept., 
Avenida 25 de Abril, 2 – 2795 Linda-a-Velha – Portugal
Phone : 351.1.415 60 00   Fax : 351.1.415 63 83/4
Email : pmendes.lisboa@abreu.pt

1. PARTICIPANT 

MR / MRS / MS ____________________________________________( Last Name )
FIRST NAME _________________________________________________________
COMPANY NAME ______________________________________________________
ADDRESS ___________________________________________________________
CITY ______________________________ COUNTRY ________________________
PHONE ____________________________ TELEFAX _________________________
E-MAIL _____________________________________________________________

2. ACCOMPANYING PERSON(S) 

MR / MRS / MS ____________________________________________( Last Name )
FIRST NAME _________________________________________________________
MR / MRS / MS ____________________________________________( Last Name )
FIRST NAME _________________________________________________________

3. HOTEL CATEGORY 

HOTEL	CATEGORY	SINGLE ROOM	DOUBLE ROOM	

Holiday Inn		Pte 13 890	Pte 15 350	
Alif		Pte 10 450	Pte 11 880	
A.S. Lisboa		Pte  8 500	Pte 10 500	
Vip Zurique		Pte 10 500	Pte 11 650	

4. ACCOMMODATION 

Please reserve my Accommodation in the following Hotel Category :

1st Choice Category  _________________  2nd Choice Category ________________
Single with breakfast      Double with breakfast    
Arrival ____ /____ / 1999     Departure ____ /____ / 1999    Total Nights ______

___ night(s)   X   ___ room(s)   X   Pte ________  (A) SUB TOTAL  PTE ________
(We reserve the right to confirm another Hotel if 1st choice is already Fully Booked)

5. EXCURSION DAY(S)  
						               PRICE / PERSON	           NR. OF PERSONS	                PTE           .
Half day tour to Lisbon		      Pte 2 300		X     _____		= _______
Half day tour to Sintra/Cascais	      Pte 2 700		X     _____		= _______
Full day tour to Nazaré/Nazaré	      Pte 9 650		X     _____		= _______
Full day tour to Évora		      Pte 9 650		X     _____		= _______

      (B) SUB TOTAL  PTE ________

6. PRE AND POST CONGRESS TOURS

					           	       NR. PERSONS	         TWIN SHARING             SINGLE                   PTE            .
Madeira Island – Funchal		     ____	  Pte 86 700     Pte ______   ______
Porto					     ____	  Pte 71 500     Pte ______   ______
Azores Island				     ____	  Pte 98 250      Pte ______   ______
•	The prices above mentioned can be revised at the moment of reservation.

      (C) SUB TOTAL  PTE ________

				                       GRAND TOTAL (A)+(B)+(C)  PTE ________

7. METHOD OF PAYMENT

 Please charge my Credit Card  
   VISA    MASTERCARD   AMERICAN EXPRESS   DINNERS 
	  Credit card Number _________________________________________________
  Expiry Date ____ / ____  Owner’s Name ________________________________

 Bank Transference to : 	       	Banco Espirito Santo, 
    In this case, please send us		Viagens Abreu S.A. / FISM Congress
    a copy of the Bank Transference.	Account number : 023 / 01442 / 000.6 
							Av. Liberdade, 1200 Lisbon, Portugal 

8. BOOKING & PAYMENT CONDITIONS

- Payment of 2 night’s accommodation must accompany this Application Form.
- Viagens Abreu will send you confirmation of reservation by fax, letter or email.
- Room reservations will be made on a first come, first served basis.
- The balance must be received 30 days prior to the arrival or the reservation will be 
  automatically released.
- Ammendments will be subject to an administration charge of Pte 3000.
- Cancellations up to 8 weeks prior to the arrival = 2 nights deposit not refundable
- Cancellations less than 2 weeks prior to the arrival = full amount charged.
- All cancellations/ammendments must be done in written ( fax, letter or email )
- Extras expenses in the Hotels are paid directly by the participant.

Date : _________________________ Signature : ________________________