ACCOMMODATION FORM - MBR04TO BE FAXED: +39-0382-23215
OR MAILED (DO NOT EMAIL):
Dr. Elena Gandini
Dipartimento di Filosofia
Piazza Botta 6,
27100 Pavia,
Italy
email: elena@acrossevents.com
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FILL IN CAPITAL LETTERS, PLEASELAST NAME:____________________________________________________________
FIRST NAME:______________________________________________Prof./Dr./Mr./Ms.
AFFILIATION/UNIVERSITY/DEPT.__________________________________________
STREET:_______________________________________________________________
TOWN:___________________________CODE:_____________COUNTRY:____________
PHONE:__________________FAX:__________________E-MAIL:_________________
TYPE OF TRAVELLING:__________________DATE OF ARRIVAL:_________________
DATE OF DEPARTURE:___________________NUMBER OF NIGHTS:________________
NAME OF THE HOTEL:____________________________________________________
CREDIT CARD TYPE________________________________
NUMBER__________________________EXPIRATION(MONTH/YEAR)_____________
NAME AS IT APPEARS ON CARD___________________________________________
(you will pay directly in the Hotel)
PLEASE FAX THIS FORM TO THE NUMBER ABOVE
PENALTY
BEFORE *1 of NOVEMBER 2004* (you will pay directly in the hotel)
In case of no show the Hotels will charged you their own penalty.
DATE__________________________YOUR SIGNATURE____________________
______________________________________________________
ELENA GANDINI WILL MAIL OR FAX
YOU THE RESERVATION VOUCHER
ELENA GANDINI WILL
SATISFY THE REQUESTS
AS FAR AS POSSIBLE.
IF NOT POSSIBLE, ANOTHER SIMILAR
ACCOMMODATION
WILL BE
ARRANGED.
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