HOD-HAT

Heads of Delegation's Advanced Visit
Hotel Accommodation & Travel Form

	25^th Winter Universiade\|25^e Universiade d’Hiver 27/01-06/02/2011 Erzurum, Turkey Erzurum 2011 Organizing Committee Headquarter Office Hollanda Caddesi Hilal mah. 696. sok. N:20/B 06550 Yildiz/Cankaya/Ankara Tel: +90 312 551 20 42 • Fax:+90 312 442 25 28 Email: accreditation@erzurum2011.gov.tr • Internet: www.erzurum2011.gov.tr
Received on: Datede réception:	Heads of Delegation's Advanced Visit Hotel Accommodation & Travel Form	HOD-HAT

Country / Pays

Country Code / Code du Pays

*National University Sports Federation - FNSU – Fédération Nationale du Sport Universitaire

Name of the FNSU				Code		Photo
Family Name
First Name				Nationality
Position				Postal Code
Date of Birth	Day	Month	Year	Sex	Male Female
Passport Number				E-mail
Expiration Date	Day	Month	Year	City to obtain Visa (if necessary)
Allow to get VISA at the Airport in Turkey					Yes No

REQUEST FOR HOTEL RESERVATION - Palan Hotel
PARTICIPATION RATE PER PERSON:		€ 110, Single room
		€ 180, Double room (one over night stay)
I want to share a room with:
The above rates include VAT, accommodation (1 overnight stay according to choice), lunches and dinners on September 29, 30, October 1, 2, if not upon invitation

AIRPORT TRANSFER Transportation from Erzurum Airport to the Hotel (and back) is in charge of OC and assured by OC Erzurum.
ARRIVAL (Please write details of flights to Istanbul or Ankara and also to Erzurum)
Date	Flight No.	From-To	Arrival Time


DEPARTURE
Date	Flight No.	From-To	Departure Time

Upon receipt of this form we will issue an invoice accordingly and ask you to transfer the total amount before departure to the following account or deposit of 50% of total amount. The rest of payment is possible at the hotel by VISA CARD, MASTER CARD and AMERICAN EXPRESS CARD. Name of Bank : Ziraat Bankası Bulvar Şubesi / ANKARA Account IBAN : TR 59000100 1235 51918891 5002 (TL) \| TR 75000100 1235 51918891 5005 (USD) \| TR 21000100 1235 51918891 5007 (EURO) Reason of payment : Head of Delegation Participation fee, Family Name & Name of Delegation / Country Any bank fees and charges will have to be born by sender of the money.
Entry to be sent back no later than 29/08/2010	Inscription à renvoyer au plus tard le 29/08/2010
Fédération Internationale du Sport Universitaire - International University Sports Federation Château de la Solitude, 54 Avenue Charles Schaller, 1160 Brussels – Belgium, Tel:(32.2) 6406873, Fax: (32.2) 6401805, E-mail: fisu@fisu.net, Internet: http://www.fisu.net