Application Form

• Below, you can make a reservation at the Missouri Athletic Club - at specially discounted rate.
  
  
  • Rate: Single or Double: 85 USD;
  • Price in American Dollars PER NIGHT;
  • Price includes taxes / Breakfast NOT INCLUDED;
  • A credit card is required in order to make a hotel reservation. The hotel will be charged by BMI in maximum 2 business days;
  • You will receive your hotel confirmation number approximately 2 weeks before the check in date.
  • For more information, please email Priscilla Gomes
  
  The hotel reservation deadline is May 20th, 2020.
  
  

Guest Information

Institution Name *

Address *

City *

Post Code

Country *

State/Province

Phone (with country code) *

Website

Institution Logo *

1st Guest Name

*Mr.Mrs.Miss.Prof.Dr.

Name *

Last Name *

Email *

Mobile

2nd Guest Name

Title Not RequiredMr.Mrs.Miss.Dr.Prof.

Name

Last Name

Email

Mobile

Credit Card Information

Card Type *

MasterVisaAmerican Express

Cardholders Name *

Card Number *

Expiry Date *

Security Code *

Cardholders Billing Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountry

Terms & Conditions

By completing this form and submitting it in any format to BMI, you confirm and accept the event Terms & Conditions below.A credit card will be required by the BMI to be used for the payment. The credit card will be charged by BMI and you will receive a RECEIPT in 2 business days.


• Reservation changes are NOT ALLOWED;
• Cancellation is NOT ALLOWED;


Any miscellaneous charges incurred during your stay such as room service, laundry, extra nights, unauthorised additional person in your room, extra meals, drinks etc. will be at your own expense and automatically charged by the hotel to your card.


• We will send you a receipt for the accommodation payment - normally within 48 hours but in no more than 7 days - if it has been approved;
• We will then make your hotel arrangements and send you confirmation 2 weeks before the check in date.
• I agree to the above Terms and Conditions *
  Yes

 

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