the 7 international workshop on biosignal interpretation – bsi 2012

THE 7THINTERNATIONAL WORKSHOP ON
BIOSIGNAL INTERPRETATION – BSI 2012
July 2-4, 2012 – Palace Hotel, Como – Italy
ACCOMMODATION FORM
Please fill out all sections of this form using block letters and return by May 25th 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
Hotel Barchetta ****
single / double single use
130,00 (only double single use)
double room
150,00
Hotel Metropole ****
96,00 / 108,00
126,00
Hotel Palace ****
130,00 (only double single use)
150,00
Hotel Engadina ***
70,00 / 90,00
110,00
Hotel Firenze ***
70,00 / 80,00
102,00
Hotel Park ***
82,00 / 94,00
107,00
Hotel Tre Re ***
80,00 / 95,00
130,00
Hotel Funicolare **
/
78,00
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 May 25th. After that date, rooms
may be no longer available and rates may vary: please contact the Secretariat to check remaining
availabilities. From June 1st please contact the hotels directly.
Cancellation policies may vary 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_______________________________