HOTEL RESERVATION FORM
(please print and make copy for your own record)
Surname : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . First name : . . . . . . . . . . . . . . . . . . . Institution : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Street : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Post-code : . . . . . . . . . . . . City : . . . . . . . . . . . . . . . . Country : . . . . . . . . . . . . . . . . Phone : . . . . . . . . . . . . . . . . . . . . . . . . Fax : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-Mail : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arrival date : . . . . . . . Arrival time : . . . . . . AM/PM Departure date : . . . . . . . . Arrival by : car train plane ![]() No. of occupants : . . . . . . |
| Category of Hotels (prices in italian lire) : * * * * | Lt. 250.000 (double room) |
| * * * | Lt. 150.000 (double room) |
For further details concerning hotel accomodation, do not hesitate to contact:
Bisazza-Gangi s.n.c. Largo S. Giacomo, 1-2 - 98100 Messina (ITALY)
tel. +39-90- 675351; fax +39-90-675698.
NOTE: if the deposit is remitted by bank transfer or bank cheque, You can remit the amount together with the registration fees, by using a single bank transfer or cheque. Please make bank transfer or cheque payable to: Comitato organizzatore del Fourth International Workshop on Applications of AgNOR in Pathology, c/o Banca Commerciale Italiana, Messina, Agenzia di Cittą n.1, account n. 13481030120 CIN M ABI 02002 CAB 16501.
Payments by credit card cannot be accepted.
Date. . . . . . . . . . . . . . . . . . Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
|
Prof. Giovanni Tuccari - Comitato organizzatore del Fourth International Workshop on Applications of AgNOR in Pathology c/o Dipartimento di Patologia Umana Policlinico Universitario, pad. D 98100 Messina I T A L Y |
INDIETRO____
______AVANTI