accommodation form - NRC-8

NRC 8 – INTERNATIONAL CONFERENCE ON
NUCLEAR AND RADIOCHEMISTRY
September 16th - 21st, 2012 – Grand Hotel di Como - Italy
ACCOMMODATION FORM
Please fill out all sections of this form using block letters and return by July 27th, 2012 to:
Centro di Cultura Scientifica “A. Volta” - Villa del Grumello – via per Cernobbio 11, 22100 Como - Italy
Fax +39-031-573395 - E-mail: [email protected]
Family Name
First Name
Institution
Address
ZIP, Town and Country
Telephone
Fax
E-mail
Arrival Date
Departure Date
Hotels (bed and breakfast rates) – prices are indicated in Euro
Hotel
single / double single use room
double room
Grand Hotel di Como, Como ****
Albergo Centrale, Cernobbio ***
Hotel Miralago, Cernobbio ***
Albergo Giardino, Cernobbio **
Albergo S.Giuseppe, Cernobbio**
130,00 / 150,00
85,00 / 120,00
110,00 / 145,00
- / 80,00
- / 80,00
160,00
120,00
160,00
90,00
95,00
Please, reserve:
() single or double single use room
() double room to be shared with ___________________________________________
In Hotel____________________________ (1st choice) or in Hotel ___________________________ (2nd choice)
If your requested hotel or category is not available, you will be confirmed in another available hotel or
category.
Reservations will be made on a “first come, first served” basis.
Without a credit card number as guarantee, we cannot process your reservation request
() Visa
() Mastercard / Eurocard
() American Express
Card Number _______________________________________________ Expiry Date ____________________
Holder _____________________________________________ Signature _____________________________
N.B.: Reservations made by the Secretariat are guaranteed only till July 27th , 2012. After that date, rooms may
be no longer available: please contact the Secretariat to check remaining availabilities.
Cancellation policies may change from one hotel to the other and will be communicated together with the
confirmation of hotel reservation.
Reservation with hotel details will be confirmed by email soon after the deadline.
Date _____________________
Signature_______________________________