ULIS 2003 CONFERENCE: HOTEL ASTORIA RESERVATION SHEET

TO BE FAXED BY 22/02/2003 TO:

HOTEL ASTORIA
Phone 0432.505091 fax 0432.509070
piazza XX Settembre, 24 (city centre)

LAST NAME _________________________________________

FIRST NAME ________________________________________

Affiliation ____________________________________________

___________________________________________________

Address ____________________________________________

City ___________________________    ZIP ________________

Phone _____________________ Fax _____________________

E-mail ______________________________________________

From _________________(check-in) to _________________(check-out)

n. of nights _________accommodation in :

[ ]	standard single room including breakfast
[ ]	double room used as a single including breakfast
[ ]	double room including breakfast

· The Hotel reservation is already confirmed if no opposite communication is received.

· For any change to the reservation please contact the Hotel directly.