Form - Panteresports

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Form - Panteresports
PANTERESPORTS 2016
BARCELONA, 16-18th SEP
Booking Form
Pax # 1
Full Name
(as shown in your ID/passport)
Birth Date (day/month/year)
Passport / ID number & Nationality
Issuing & Expiration Dates
(day/month/year)
Mobile Phone (with country code)
Email address
Panteresports 16 competition
Pax # 2
Full Name
(as shown in your ID/passport)
Birth Date (day/month/year)
Passport / ID number & Nationality
Issuing & Expiration Dates
(day/month/year)
Mobile Phone (with country code)
Email address
Panteresports 16 competition
10th PANTERESPORTS
BARCELONA 2016
Hotel Selection
Hotel request
Arrival Date
(day/month/year)
Departure Date
(day/month/year)
Room Type
DBL / 1 Queen Bed
TWN / 2 Twin Beds
DUI / 1 Queen Bed / Single Use
Form of Payment
Credit Card
(signed authorization form will be required)
Bank Transfer
(pls send email with transfer report)
BANCO SANTANDER (Transfers within Spain)
IBAN ES37 0049 1500 0328 1035 5229
BBVA (foreign transfers)
IBAN ES97 0182 3999 3702 0066 4662
SWIFT BBVAESMMXXX
Pls send this booking form as a PDF, duly filled in, to :
[email protected]
"The personal details included in this document are of a confidential nature and will be incorporated to a data base
owned by VIAJES EL CORTE INGLÉS, S.A., with registration purposes as well as sending events, promotions or
commercial information about our services which may appeal you interest. In accordance with the Organic Law 15/1999,
of 13 December, the holder of this data will be able to exercise his or her right of access, rectification and cancellation
by email to [email protected] on by written application to Viajes El Corte Inglés, S. A. Servicios
Centrales-Dpto. de Organización y Métodos. Avda. De Cantabria, 51. 28042 Madrid.. Pls type “X” in case you refuse too
receive any commercial communicatioins........

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