registration form
Transcription
registration form
FQAS 2006 – The 7th International Conference on Flexible Query Answering Systems June 07-10 2006 – Milano, Italy HOTEL RESERVATION FORM Please return within april 30 to : Domm International srl Fax 0039 02 76000181 Email : [email protected] Family name First name Company Address City Zip code Country Phone Fax E-mail Invoice address (with vat code –for EU countries ) Deposit required EUR 100,00 HOTEL SELECTION – rates per night per room – continental breakfast and taxes included SINGLE DOUBLE 4 stars STARHOTEL SPLENDIDO BEST WESTERN CRISTOFORO COLOMBO 126,00 115,00 138,00 138,00 3 stars BEST WESTERN CITY HOTEL NEW YORK 103,00 92,00 150,00 115,00 Check-in date : Check-out date : Hotel preference SPECIAL REQUIREMENTS/REQUESTS PAYMENT 1) BANK TRANSFER Banca Intesa Rete Cariplo – agenzia 11 – Milano – Italy account number 6152 41722123 ABI code 03069 - CAB code 09471 – CIN code A IBAN code IT52 A030 6909 4710 0001 2831 11 swift code BCITAIT33111. Bank transfers are not allowed later than 3 June, 2006 2) CREDIT CARD VISA or MASTERCARD CREDIT CARD TYPE AND NUMBER EXP. DATE OF BIRTH CARD HOLDER’S NAME SIGNATURE IMPORTANT : The balance must be paid to Domm International ( not to the hotels ) WITHIN MAY 31,2006 This form is to indicate preference only and submission does not guarantee confirmation. Notification of confirmed details will be faxed/e-mailed by Domm International within 7 business days of receipt. Domm International makes no warranties of any kind that the hotels and rates listed above will be available at the time you make your reservation. Reservation requests and changes are subject to the availability and discretion of the hotels. All information is as of July 2005 and is subject to change. Fax: +39 02 76000181 – phone : +39 02 7779181 Mail: Domm International srl – Via Rossini 1 – 20122 Milano – Italy Email : [email protected] Cancellation policy: All cancellations must be made through Domm International No refunds on room deposits will be given on or after April 30, 2006 In case of cancellation or no show, the chosen hotel will charge to the above mentioned credit card the total amount for the reserved period. Therefore, I authorize Domm International to transmit to the chosen hotel my credit card detail to charge in case of cancellation or no show the total amount for the reserved period. Date Participant signature Domm International s.r.l. by the Italian law n. 675/1996, decree law June 30 2003 n. 196, informs you that the data will be managed with information technology, by Domm International - Via Rossini 1 – 20122 Milano, Italy, as director of the data department, in order to be stored in the databank and used to send information on the event and to send free of charge documentation about different events or initiatives carried out by Domm International. The customer by filling this form agrees to all the above mentioned condition and therefore to the treatment of personal data. I AGREE Date • yes • no Participant signature