Name of participant(s)

Address

Country

Phone

Fax

Email

Couples and families, where one person is paying the bill for all and all
details are identical, may put all names on the one form. BUT groups of friends who are paying separately *must* complete a separate form for each person.
If you would like randomly allocated room-mate(s) tick here: [ ]
If you wish to share with friend(s) sending separate form(s) give their names ..................................................................................

[ ] I will require shuttle bus from airport to Costao. Please include US$14 for return ticket, and info re your flights below (or send later if not yet booked): 

Arrive: 

Day:..........Time:..........Flight no:.......... Airline:..........

Departure: 

Day:..........Time:..........Flight no:..........Airline:..........

[ ] I will be bringing a child/ children to the event
please give age(s) (see note 5 )..…………..................

My diet is [ ] vegetarian [ ] vegan [ ] rawfood
All meals at the Congress will be vegan but may not be on the tours, completion of the above will help us plan for your requirements.

[ ] I require simultaneous interpretation and my language is:

...................................................................................................

SECTION B: FEES

Payment must be made in full, and is accepted by cheques in US dollars, euros, sterling or credit card.

SECTION C: METHODS OF PAYMENT

Cheques, in US dollars, euros or sterling only, may be accepted but must be cleared prior to the deadlines in order to guarantee a place and should be made out to "Sociedade Vegetariana Brasileira".

I enclose cheque to the value of ……………….. (£ $ or euros)
Note: for payment by cheque add $50 due to bank charges.

If you wish to pay by credit/debit card - Visa/Mastercard/Amex/Switch/Delta please fill in the form below.

Payment by credit card can be sent by mail or fax – please do not email credit card details as the Society cannot be responsible in case of misuse by a third party.

Cancellation policy: Any cancellation 60 days prior to Congress will incur in a charge of 50% of the amount payed, 30 days in 70%. Fees cannot be refunded less than 30 days before Congress.

Last booking date: Packages cannot be booked after 30^th October. As the event has limited capacity it is advisable to book as soon as possible.

If you want to stay after the Congress at Costao do Santinho (or other Hotel in Florianopolis) ask for reservation at special prices for delegates. Payment will be made directly to the Hotel in loco.

Please send completed forms and payments to

Marly Winckler

Sociedade Vegetariana Brasileira
Cx. Postal 7017
88025-970 Florianopolis - Brazil
Fax 55 48 234 8034

Email info@svb.org.br

DATE: _______________________________

"OFF-LINE" CREDIT CARD DEBIT AUTHORIZATION
I am authorizing a debit from my credit card number: _______________________
ACCEPTED CREDIT CARDS:
( ) American Express ( ) Mastercard ( ) Visa
Exp.Date:____/____/ Credit Card holder:_____________________________________

The amount of: US$ __________ in order to guarantee the reservation in the name of :

________________________________________________________

Number of guests/Apartment type:

Check-in date : __/____ - **After 3pm
Check-out date: __/____ - **Until 11am

Name: __________________________________________

Client signature: _________________________________

Note: Please return this with a copy of your Credit Card and Passport by fax to: 48 269 8599
or by post to: Sociedade Vegetariana Brasileira; Caixa Postal 7017; 88025-970 Florianópolis SC Brazil