ISERN

International Software Engineering Research Network

October 4th - 5th, 1997 - Bari (Italy)


HOTEL ACCOMMODATION FORM

Deadline: September 1st, 1997

Please return this form to: Sheraton Nicolaus Hotel

Via Cardinale Agostino Ciasca 9, Bari 70124, Italy - Telephone Number: (+39) 80-5042626 Fax Number: (+39) 80-5042058


Please type or print clearly

Name:_____________________________________________________________________________________________________

Last First Title (M/F)

Institution: _________________________________________________________________________________________________

Address:___________________________________________________________________________________________________

City Post Code Country

Telephone No: ______________________________________ Fax No:_________________________________________________

Name(s) of Accompanying Person(s):____________________________________________________________________________

Last First

Hotel Rates per night

Single room Double room

Sheraton Nicolaus Hotel **** It. Lira 192.000 It. Lira 250.000

(conference venue)



No. _________ Single room(s) No. ________ Double Room(s)

Date of arrival: ____________ Date of departure: _________ Number of Night(s): ____________________________


Hotel Room Guarantee

I accept that the amount of It. Lira 192.000 will be charged to the following credit card as no-show guarantee.

VISA EUROCARD / MASTERCARD DINERS' CLUB

Card No. Expiration date /

Cardholders's name (please print)______________________________________ Signature ______________________________

HOTEL ACCOMMODATION INFORMATION

The above mentioned rates include breakfast, service and VAT.

The organizing secretariat will send a hotel confirmation slip with all necessary information to the applicant after having made the hotel reservation.

After September 1st, 1997, hotel reservations may not be guaranteed.


Date: ______________________________ Signature: _____________________________________________________________