Summer School in Calculus of Variations

 

TO BE FILLED IN AND SENT BY FAX DIRECTLY TO TULIP INN ROMA GLOBUS HOTEL, BEFORE 31 MAY 2005:

 

 

RESERVATION CONTACT: Anna Politi Globus Hotel Roma, Viale Ippocrate, 119 – 00161

ROME ITALY – Tel: +39 06 44 57 001, Fax: +39 06 49 41 062

E-mail: anna.politi@globushotel.com  http://www.globushotel.com/

 

GENERAL INFORMATION:The Room with negociated prices will be available until the 31st May 2005. After this date their availability and the negociated prices will be not guaranteed. The room should be reserved individually by each participant on a first come, first served basis and guaranteed by a credit card. Cancellation policy during the 24 hours precedine the partecipants’s arrival date – no charge; after this date and in case of no show, one night’s accomodation will be charged to your credit card.

 

Partecipant:                LAST NAME                                   FIRST NAME

                                  _________________              ____________________

 

                                  INSTITUTE                                     CITY

                                  _________________              ____________________

 

                                  TEL                                    FAX

                                  _________________              ____________________

 

 

HOTEL RESERVATION:   ARRIVAL                                        DEPARTURE

                                  HOUR

 

 

Dynamic               Working               Liberty               Dreaming               Sweetly

          o                           o                         o                         o                          o   

         71                          95                       125                     143                       205 

(Mark it X)

 

METHOD OF PAYMENT:   o CREDIT CARD                            o CASH

 

 

Credit card number     _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _    expiry date: _ _ / _ _

 

Date:________  signature  _____________

 

 

HOTEL CONFIRMATION RESERVATION No: _____ STAMP_______________________