AIB. Commissione nazionale università e ricerca | |
SURNAME __________________________ TITLE ____________________________
NAME _________________________________________________________________
ORGANIZATION _______________________________________________________
MAILING ADDRESS ____________________________________________________
POSTAL CODE _______________________ CITY ____________________________
COUNTRY _____________________________________________________________
PHONE _____________________________ FAX ______________________________
E-MAIL ________________________________________________________________
Italian participants only: P.IVA/COD. FISCALE ____________________________
(indispensabile per la fatturazione)
Payment should be made in Italian Lira; all banking charges to be paid by the participant.
Date _________________
Signature __________________________
In compliance with Italian law n. 675/1996 (concerning the treatment of personal data) information and details contained in these forms will be used exclusively for correspondence relevant to the conference "The Digital Library"
IT SHOULD BE NOTED THAT ATTENDANCE AT THE CONFERENCE IS STRICTLY LIMITED AND BOOKINGS ON THE DAY WILL NOT BE ACCEPTED
I would like to book:
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Arrival date and time _______________________________________________________
Departure date and time ____________________________________________________
Room rates include breakfast. Vat/iva is included.
Please note that reservations will only be considered if covered by a deposit for the equivalent of a one night stay.
Those who wish to book through the Conference organizer must pay a booking fee of Italian Lira 25.000.
PAYMENT CHECK-LIST:
Total Italian Lira _______________
I have already paid Italian Lira _________________ on ___/___/1999 to the Conference bank account at: Cassa di Risparmio in Bologna - Agenzia S. Vitale, Via Massarenti, 61 - 40138 Bologna - C/C 18858/2 - ABI 6385.9 - 02419.0
I enclose the xerox copy of my receipt.
Date, _____________ Signature _____________________
Send to: Planning Congressi Srl - Via S. Stefano, 97 - 40125 Bologna - Tel. 051/302980; 051/302981 - Fax 051/309477 - E-mail: info.planning@planning.it