Accommodation
Welcome to the IX In4Med! If you would like to take advantage of the amazing accomodation discounts we have available for you, please fill the form below with your preferences.
(IMPORTANT - You should not make your reservation using the provided links, or you will not be able to benefit from your special In4Med discount! The links are for price simulation purposes. The price displayed does not include the discount.)
Email address *
Name *
Your answer
Tax Identification Number *
Your answer
I am interested in the following Partner Hotel(s)/Hostel(s): *
Required
Select your check-in date *
MM
/
DD
/
YYYY
Select your check-out date *
MM
/
DD
/
YYYY
What type of room do you wish to reserve? (economy dorm room, single room, double room, other?) *
Your answer
Any final comments or requests?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of NEM/AAC. Report Abuse