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.
Ž VISA Ž EUROCARD / MASTERCARD Ž DINERS' CLUB
Card No. ŽŽŽŽŽŽŽŽŽŽŽŽŽŽŽExpiration date ŽŽ/ŽŽ
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: _____________________________________________________________