Association of West Indian Gastroenterologists

2007 Faculty

Online Print & Fax Submission Form: 2007 AWIG Conference

Fill out this form and click on Submit below. This will allow you to review and print the data, after which the printed form can be faxed to Carlson Wagonlit Travel.

The fax number appears on the printed form.

Conference Attendees

Do not attempt to book via the Marriott Costa Rica web site or by Calling direct!

Please fill-out and submit the form below.

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Personal Information

Title

First Name

Middle Initial

Last Name

Address

Street

Line 2

City

State/Province/Parish

Country

ZIP

Day Phone

Evening Phone

Fax

Select Occupancy Type:

Room Occupants

In Room Adults

Children Over 12

Conference Registration

Member Status

CAMCAR Member?

Your Arrival & Departure Dates for the Hotel Bookings

Arrival Date

Format: YYYY-MM-DD

Departure Date

Optional Tours

Yes	Qty	Preferred Date	Tour Name	Price	Click
			Canopy Tour	$75.00	Details
			Tour to La Paz Waterfall Gardens	$65.00	Details
			White Water Rafting: Florida Reventazon River or Sarapoqui River Class II-III	$70.00	Details
			Tour to Poás Volcano	$65.00	Details
			Arenal Volcano by Night & Hot Spring Tour	$100.00	Details
			Tour to Irazu Volcano	$35.00	Details
			San José City Tour & Shopping	$30.00	Details

Airline Booking Option
	I would like Carlson Wagonlit Travel to quote me on Airfare Travel to Costa Rica, based on the above travel dates.

!! PLEASE REVIEW DATA ABOVE !!

AWIG
C\O 12 Windsurf Road East
Westmoorings
Trinidad & Tobago