HOTEL RESERVATION FORM International Conference "Gaia spectroscopy, Science and Technology" Gressoney Saint Jean (Valle d'Aosta), Italy, 9-12 September, 2002 Please, print the following form, fill in and submit it by FAX to Serenissima Viaggi s.r.l. (Biella, Italy) FAX Number: +39 015 33985 Full Name (Family name, First name)_______________________________________ Title___________________Male_____Female_____ Nationality________________ E-mail_______________________________________ Phone______________________________ FAX__________________________________ * ACCOMODATION. All choices are full-board (cross your preference): Single room: Double room: Hotel Residenza del sole: 100 Euro ____ 85 Euro ____ Hotel Gressoney: 95 Euro ____ 80 Euro ____ Hotel La Gran Baita: 90 Euro ____ 75 Euro ____ Expected arrival date __________________ departure date _________________ The penalty for no-show at the hotel will be equivalent to one day rate. Organized transfer by bus door-to-door between Milan-Malpensa airport and the Congress Center (leaving twice per day, aprox. noon and 5 p.m.) will be organized for arrivals on Saturday Sept 7 and Sunday Sept 8, and departures on Friday Sept 13 (aprox. early morning and noon) at about 25 Euro per person. E-mail Serenissima Viaggi s.r.l. at Gaia2002@serenissimaviaggi.com to coordinate time of arrival/departure. Do you book for this service YES _____ NO ______ ? Payment of transfer will be cleared upon arrival at the Congress Center. If you cross an accomodation in double room: (a) you wish to share a double room with a conference attendee: indicate whom would you like to share it___________________________ or if you have no preference___________________________ (b) you travel with an accompaning person: indicate full name ________________________________________________ If he/she will partecipate in the social event, the cost is 52 Euro Special requests and comments_____________________________________________ _____________________________________________ * REGISTRATION FEE. For your hotel reservation and scientific registration to be effective, the registration fee must be paid with submission of this form. The registration fee is 200 Euro for early registrations (before May 15, 2002), and 250 Euro for late registrations (until June 15). We will confirm by stamping and faxing back this form to you. by bank transfer to the account: Banca Sella Spa Swift SELBIT2B ABI 3268 CAB 22300 C/C 2000902813670 or by credit card: Card type (VISA, American Express, Mastercard)________________________ Card Number___________________________________________________________ Expiration Date_____________ Name on Card_____________________________ Signature: Cancellation policy: only early registration fees (those paid before May 15) will be refunded if cancellation should occur earlier than June 15.