30th International Conference on Lightning Protection

September 13th – 17th, 2010

T HOTEL, Cagliari – Italy

Fill in this form in BLOCK CAPITAL and send it to:

Kassiopea Group srl

Via Mameli, 65 – 09124 – Cagliari – ITALY

Simona Casu

e-mail:

Tel. +39 070 651242 - Fax: +39 070 656263

HOTEL / CATEGORY / Address / Single Room / Double/Twin Room
Standard / Standard
T Hotel / **** / Via Dei Giudicati - Cagliari / 139,00 / 159,00
Hotel Mediterraneo / **** / Lungomare C. Colombo, 46 - Cagliari / 99,00 / 130,00
Hotel Regina Margherita / **** / Viale Regina Margherita, 44 - Cagliari / NOT AVAILABLE / NOT AVAILABLE
Caesar's Hotel / **** / Via Darwin, 2/4 - Cagliari / NOT AVAILABLE / NOT AVAILABLE
Hotel Quattro Mori / *** / Via G.M. Angioy, 27 - Cagliari / NOT AVAILABLE / NOT AVAILABLE
Hotel Ulivi e Palme / *** / Via Bembo, 25 - Cagliari / NOT AVAILABLE / NOT AVAILABLE
Hotel Due Colonne / *** / Via Sardegna, 4 - Cagliari / NOT AVAILABLE / NOT AVAILABLE

Rates are per room, per night, including breakfast, taxes and service.

Please reserve a room at Hotel ______for

Title / Family Name
First Name
Company
Position
Department
Address n.
City / Zip Code
State/Province / Country
Telephone n° / Fax
e-mail

DSU

TWIN

DBL

Arrival date: ______Departure date: ______Total nights______Total amount € ______

Accompanying personName______

Accompanying person Name ______

Invoice to:

Institution/ Company

Participant

Social Security/VAT Number
Address n.
City / Zip Code
State/Province / Country
Telephone n° / Fax
e-mail

Please select one of the allowed payment methods below:

Bank Transfer* to Kassiopea Group srl

See Bank Coordinates:

Kassiopea Group srl

Bank address: UNICREDIT BANCA DI ROMA – L.go Carlo Felice, 27 - 09124 Cagliari, Italy

Account number: 000010070053

SWIFT Code: BROMITR1H60

IBAN Number: IT 08 C 03002 04810 000010070053

Please, indicate your full name and the payment description: Hotel reservation to “30th International Conference on Lightning Protection”

*Please note that all transfer expenses must be assumed by the sender

Credit Card

Credit card type
VISA
MASTERCARD
CARTASI
Name as it appears on card
Family name / First name
Card Number
Expiration Date (MM/YYYY)
Signature

Hotel cancellation policy

Any change or cancellation of the hotel reservation must be provided in writing to Kassiopea Group Srl:

Cancellation received beforeJuly 31st, 2010– no charge

Cancellation received fromAugust 1st to August 25th, 2010 – charge of 1 night accommodation

Cancellation received after August 25th, 2010 and No-Show– charge of 100% of total stay

In compliance with Leg. Decree no. 196/2003 and with regards to the processing of the personal data indicated on this form, we inform ICLP participants that your personal information will be included in our database and processed exclusively for purposes related to this Conference.These data shall not be transferred to third parties.

Failure to authorize the processing of personal data compromises this fulfilment.

By signing this form, the signer declares that is aware of the contents of art. 13 of Leg. Decree 196/2003 and in particular, of the purposes and methods of data processing and any other detail foreseen by the above mentioned law.

Date ______Signature ______