CONFERENCE ACCOMMODATION  FORM

 
 
 Title: Prof Dr Mr   Mrs Mss
 Last Name
 First Name
 Institution
 Department
 Address
 
 ZIP Code  City
 Country  E-mail
 Phone  Fax
 
 Accompanying person(s):
 Last Name
 First Name
 Last Name
 First Name
 
 Arrival date:  by:  h.:
 Departure date:  by:  h.:

 

Preference (see map and prices):  1. 2. 3.
 
Prices (in Euros)

 

n.

Double

n.

Single

n.

Double

(single use)

**** Hotels 

 

69,00/85,00

 100,00/120,00

112,00/145,00

*** Hotels  

46,50/59,50

60,00/85,00

76,00/93,00

** Hotels  

42,00/54,00

60,00/78,00

 

70,00/85,00

 
  • Prices per day and per person, taxes, breakfast and VAT included. Please, sign in column *  the number of rooms required. Limited availability of single rooms.

  • Reservation for the hotels will be accepted only if the appropriate fee for at least one day is pre-paid, plus € 10,00 per room for reservation expenses. Deadline  May 10th, 2003. Registration without proof of payment will not be accepted.

  • The settlement must be paid to the hotel. An invoice or a receipt for the entire amount will be given.

  • Cancellation: hotel deposit will be refunded, excluding booking and post or bank expenses, for cancellation by May 31st, 2003. After this date no refund will be granted.

  • No reservation will be accepted without the corresponding payment. Payment must be made without charges to the beneficiary. Neither cheques nor Eurocheques will be accepted.
Hotel room deposit
Booking expenses € 10,00 x  = €
 
 
PAYMENT DETAILS:
No registration and reservation will be accepted without the corresponding payment. Payment must be made without charges to the beneficiary, neither cheques nor Eurocheques are accepted. Bank transfer reference MUST include delegate name(s).
 
Bank transfer
Bank detail: UNICREDIT BANCA - Corso Italia 259 - 80067 Sorrento (NA), IT
Account number: 3807157 - CIN EUR 06 - CIN E - ABI 02008 - CAB 40260
Reference: Delegate Name FECC 2003 CONFERENCE ACCOMMODATION
 
Bank transfer date, number, bank:
 

Date:

 

Authorization to process data:

I authorize elaboration and electronic processing of my personal data

(Italian law n. 675/96)

Yes

No

   
 

 

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