XII Summer School in Public Economics 2016

Confirmation Form

Instructions: Please complete this confirmation form as soon as possible and return to Diego Meneses via email at . Please fill out this form only if you have received a scholarship

Last Name:

First Name:

Country of Citizenship:

*If you are not a citizen of Spain it is very important that you apply for a United States visa as early as possible.

LODGING ARRANGEMENTS

□ I will stay at the Embassy Suites. I have received a scholarship and I

□ I would like a single room. Free for 3 nights (room rate only, no incidentals) and $138.00 per person per night beyond that)

□ I would like a double room. Free for 6 nights (room rate only, no incidentals) $69 per person) –Please note that the double room rate of $69 per person, per night is available only for the nights during which two people are staying in the room. If a person arrives earlier than their roommate or leaves later than their roommate, they have to cover the full cost of the room ($138 per night) for those extra days where there is only 1 person in the room as opposed to 2.

□ I would like a triple room. Free for 6 nights (room rate only, no incidentals) $49.3 per person. Please note that the triple room rate of $49.3 per person, per night is available only for the nights during which there are three people staying in the room. If people arrive earlier than their roommates or leave later than their roommates, and there are less than 3 people in the room, the people staying in the room, be it 1 or 2 have to cover the full cost of the room $148 per night for those extra nights when thereare less than3 people in the room

If you would like to share a room, please indicate the following:

Gender: □ Male □ Female

□ I have no roommate preference

□ I prefer to share a room with the following person(s):

1.

2.

□ I will not stay at the Embassy Suites

□ I will not need transportation to and from the airport

□ I will need transportation to and from the airport

Address of alternate lodging arrangement:

*Please see Travel Arrangements on the following page

TRAVEL ARRANGEMENTS

Please indicate your expected arrival and departure information. A representative from the International Studies Program will provide transportation to and from the airport unless otherwise noted.

ARRIVAL / DEPARTURE
Date of arrival: / Date of departure:
Time of arrival: / Time of departure:
Airline: / Airline:
Flight number: / Flight number:
Flying from: / Flying to:

May 6, 16