45th ECLSO TOUR REGISTRATION FORM
Please complete the form below to join the tour.
Click here for tour programs page...
Participant Information
Title / Name–Surname :
Place of Employment :
Mobile Telephone :
Office Telephone :
Home Telephone :
Fax :
E-Mail :
Postal Address :
Description :
TOUR NAME
DATE
Per Person Payment
Person
Pamukkale Tour
Wednesday, October 14th
70 €
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Izmir City Tour
Thursday, October 15th
25 €
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Ephesus & Virgin Mary Tour
Friday, October 16th
50 €
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Pergamon (Bergama) Tour
Saturday, October 17th
60 €
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Credit Card
Mail Order
Money Transfer
External Participant Fee :
Euros
TL
( Amount of Money Transfer and Payment In Advance With Credit Card )
Euro rate
CENTRAL BANK OF THE REPUBLIC OF TURKEY Euro rate is based on.
Please charge my credit card
VISA
MASTER
Credit Card Number :
Security Code :
(The last 3 numbers on the back of credit cards)
Expiration Date :
January
February
March
April
May
June
July
August
September
October
November
December
2015
2016
2017
2018
2019
2020
Card Holder's Name / Surname :
Card Holder's Address :
Amount of money above has been paid into the bank account which is below the date
Burkon Turizm ve Kongre Org. Ltd. Şti.
Akbank Çekirge Branch, Bursa
Euro Iban Code
TR 9800 0460 0605 0360 0007 9641
Branch Code
605
Euro Account No
79641
Swift Code
AKBKTRIS
Image Security Code
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