Samos 2014 Summit Registration
Please fill in the following fields in order to register for the Samos 2014 Summit.  

In case you do not have an invitation, we will come back to you - thank you for your interest.  If you have an invitation, please consider your registration as done, even if you will have to add more information later.  

You may also edit your form again, when extra informaton is available (e.g. exact dates, flights, etc).  Please be aware to KEEP the link provided to you after submitting your form.

For all rates and appplicable fees please visit www.samos-summit.org

This registration can be cancelled by the applicant/participant at no other costs or burden, exclusive of the registration and hotel deposits made, by simple email to the Registrations responsible.

For any question you may contact:
-  For agenda issues, presentations and workshops: Harris Alexopoulos  -   alexop@aegean.gr
-  For registration, accommodation, transportation, payments: Vassiliki Diamantopoulou - vdiamant@aegean.gr
Sign in to Google to save your progress. Learn more
Who I am *
First Name *
Last Name *
Organisation *
Department
Position or Role in the Organisation
Address
Country
E-Mail *
Twitter Username
e.g. @SamosSummit
Fixed Phone *
e.g. +302107723553
Mobile Phone - - for cases of emergency only
e.g. +306974142112
Participation in Samos 2014 Summit
I am... *
Please select your category.
Relative Project
Please enter the project(s) that you participate in
Type of Booking your Flights *
Please select if you would like to book your flights to our preferred Travel Agent (RHENIA TOURS) or you prefer book your flights on your own!
Arriving on
(Date of your Arrival)
Departing On
(Date of your Departure)
Flight arriving to Samos Airport (SMI)
Include Carrier and Flight Number.  If you do not know exactly, leave for later.
Flight departing Samos Airport (SMI)
Include Carrier and Flight Number. If you do not know exactly, leave it for later.
My Room and Preferences
Wanting to stay at: *
Please declare your hotel, we will come back to you based on availability
Please Select Room Type
You my check the room descriptions at the hotel sites, stated above
Clear selection
Number of nights
At the rates indicated above
Additional persons (if any)
Please state the names of accompanying persons (include ages for non-adults)
Other needs
Please state any dietary or other special need you might have during your stay
Social Events and Activities
Please fill in the social events you will attend or other activities you will be interested at
Social Events
No extra cost - These events are covered within the participation fee
Activities: The Samos Vitality and Movement Celebration - Read more at http://bit.ly/1isty4C
This year we plan to include optional Meditation and Qigong activities to be performed at Doryssa Hotel and in nearby places of interest (Pythagoras cave, Heraion ancient temple, etc), ouside the agenda of the Summit.  Read more information at: http://bit.ly/1isty4C and state your intention. The final planning will be announced when we have enough participants.
I would like to hire a car
If you want to hire a car during your stay, please indicate so. We will bring you in contact with Travel Agent RHENIA TOURS.
Clear selection
Fees and Payments
The Registration fee for the Samos Summit is 200€.  

The Registration fee covers access to the venue and local transportation in Samos, coffee breaks, lunches and all social events (welcome reception, dinners, tours).

The Registration fee will be collected by RHENIA TOURS, after 1/6/2014.
You will get a receipt for this amount.  In case you want an invoice, an extra VAT of 16% has to be charged.

Additional Persons of the Samos Summit Participants willing to participate in the(3) social evening events need to pay 80€ per person during their stay at Samos.

CANCELLATION POLICY for the Registration Fee
For a cancellation until 1/6/2014 no charge will be made.

CANCELLATION POLICY for Doryssa Seaside Resort:
You will be charged only for the 1st night, securing in this way your reservation and paying the rest during your stay at Samos.
For a cancellation until 15/05/2014, no cancellation fees will be charged.
For a cancellation from 16/5 till 25/06/2014, the total cost of the reservation that will be charged is the amount of deposit (1 night)
For a cancellation from 26/6 till the arrival date, or in case of non-show, 50% of the total cost of the reservation will be charged.
An early departure fee of 50% of the cost for the remaining stay, applies to guests checking out prior to the confirmed departure date.

CANCELLATION POLICY for Hydrele Beach Hotel:
You will be charged only for the 30% of the total amount, as a deposit for your stay in Hydrele Hotel.

Please state your preferred way of payment and (in case of payment by credit card) your credit card details.  

NO CHARGE will be made without prior correspondance with you.
Will you need an invoice for the registration fee ?
Please state so below. Typically, only Greek legal entities need an invoice.  In that case, an extra VAT of 16% has to be charged, according to Greek legislation.
Clear selection
Receipt or Invoice Data
Please state the necessary information (Name/Organisation/Address/VAT Number)
Type of payment for the Deposits (Registration Fee and Hotel costs) *
You will be contacted by email prior to any payment
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report