Association of West Indian Gastroenterologists

2007 Faculty

Online Submission Form: 2007 AWIG Conference

Fill out this form and click on Submit below. Your information will be sent directly to Carlson Wagonlit Travel Costa Rica. You will be notified via email within 2 business days of your successful confirmation.

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

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City

State/Province/Parish

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ZIP

Day Phone

Evening Phone

Fax

Select Occupancy Type (If Required):

Room Occupants

In Room Adults

CHILDREN
Over 12		Under 12

Sharing a Room?

	I am Sharing a room and do not need Hotel Accommodations above.

Conference Registration

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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.

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

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