Radiology International Inc.

HOTEL REGISTRATION - SICILY

 Enclosed is our payment of $1,000 per room representing deposit for the Radiology in Sicily. Cancellations of land arrangements will result in a $200 per person administrative fee in addition to penalties that may be imposed by the hotel and ground operator. There will be no refund on cancellations received on or after August 3, 2010. By completing this form, we acknowledge and accept all the terms and conditions of the conference.

E-mail Address:

Full Name:

Additional Persons:

Address:

City, State/Province / Postal Code / Country







Home Telephone Fax Number Business Telephone

 Choose Your Taormina Hotel ~        Diodoro (Lectures are here)      or          Hotel MonteTauro (5 mins walk)        Please cick choice.

Room Rates: 
   Physician Rate Single room $2,995   2nd person: $740.00 Rates Include Breakfast, Taxes and Transfers

NOTE: Prices may change if there is significant fluctuation in the exchange rates
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Supplements for Seaview, Oceanfront Rooms, Junior Suites and Suites are available by contacting  Sylvia, Claudia or Denise at Globe Travel. 860-584-9197 or 1-800-942-4080                     A deposit of $1,000 per room is required. The balance is due August 3, 2010.

.If you have any special needs please note here.

Payment Method Card # or Check #
           Exp. Date


 Security Code         Authorized  Signature Total $ Enclosed

I am interested in information regarding:
Pre- and Post-Conference Tours    Air     Car Rental    

Please print and mail with your check or money order payable to: Globe Travel Service, 225 North Main Street, Suite 80, Bristol, CT USA 06010.
Phone: 860-584-9197or 1-800-942-4080. To pay by credit card mail to Globe Travel Service or fax 860-314-2943. You can also scan and email to sylviap@globetvl.com