Blulab s.r.l

Delegation from *
Enter the name of your Cittaslow *
Email address *
No. of participants *
Names of Participants and ROLE (Family name, First name, Cell - Phone) *
Date of arrival * DD / MM / YYYY
Time of arrival HH : MM : SS AM/PM
Date of departure * DD / MM / YYYY
Time of departure HH : MM : SS AM/PM
Means of transport
Airport and Flight number
Hotel accommodation requested
Yes No
No. of nights
Number and types of rooms requested

Ex:
Single room
Double room
Twin bed room or other..
Participation in the optional tour to Istanbul
with transfer by plane on Sunday 9th June: fee 150€
*
Yes No
Name of participants
Request to make a speech during the assembly
(Max. 5 minutes) *
Yes No
Title of the speech
Language of the speech
THE FEE FOR YOUR PARTICIPATION IN THE ASSEMBLY IS TO BE PAID BY 18th MAY 2013 VIA MONEY TRANSFER TO:

Name of the Bank: Halkbank (Türkiye)
Account Name: Seferihisar Belediyesi
IBAN: TR87 0001 2009 7300 0058 0000 18
SWIFT: TRHBTR2AXXX

Reason for payment: CITTASLOW INTERNATIONAL ASSEMBLY 2013
Do Not Fill This Out