Hotel Reservation Form

Completed reservation forms should be faxed or emailed to: Via Ripamonti, 129 – 20141 Milan, Italy - Tel. +39.02.566011 - fax +39.02.56609043

Email:

PARTICIPANT (Please use CAPITAL letters) INVOICE (to be filled in case data are different from the ones indicated nearby)

Family Name ______Company Name______

First name______

Address______Address______

Postal Code______City ______Postal Code______City ______

Country ______Country ______

Tel.______Tel.______

Fax______Fax______

Tax identification/VAT number ______Tax identification/VAT number ______

______

E-mail______

Please book no_____:

■ single use room ■ double room

Arrival date ______Departure date ______Total n. of nights ______

■ Hotel – First choice______

■ Hotel – Second choice ______

Accompanying person’s name ______

The total amount due for the stay and a reservation fee of € 20,00 (VAT 22% included) will be paid in advance:

·  Please find in attachment a copy of the payment. Bank details for the payment:

AIM CONGRESS SRL / Banca Intesa S. Paolo/ Viale Papiniano, 48 Milano

IBAN IT16H 03069 01633 100000001216

Ref: Mlavs 2014 congress/ hotel reservation/ name guest/ name hotel

Or

·  I authorize to charge the following credit card to pay my hotel reservation:

Visa Mastercard/Eurocard American Express

Card no.: ______Security code/cvv2 ______

Expiry Date:______Cardholder’s Name______

Signature______

AIM GROUP International – Aim Congress Milan Office will issue an invoice for the charged amount.

I agree that in case of cancellation AIM Group International – Aim Congress Milan Office may charge the following amounts:

CANCELLATION POLICY

Any change or cancellation of the hotel reservation must be sent in written to AIM GROUP International – Aim Congress Milan Office.

Aim Group International – Aim Congress Milan Office reserves the right to charge on the given credit card the following cancellation fees:

-  Within 1st September 2014 € 20,00 reservation fee will be kept and the remaining amount will be refunded

-  Within 15th September 2014 € 20,00 reservation fee and one night accommodation will be kept and the remaining amount will be refunded

-  After 15th September 2014 No refund

-  No show (cancellation within No refund

48 hours from check-in date)

Date ______Signature ______

PURSUANT INFORMATION ON LAW 196/2003

AIM Group International – AIM Congress, as data controller and/or processor, informs you that any personal data you provide, or any data received by third parties, will be used in connection to your participation to the Congress and/or to provide you with information regarding any other compatible activities organized by AIM Group or by its associates. Data treatment shall mean any operation, or set of operations, carried out with or without the help of electronic or automated means, and must guarantee the confidentiality and security of your personal data. AIM Group International – AIM Congress, as data controller and/or processor may avail itself or its associates to carry out any of the following procedures: press releases, communications to clients, data processing and computer-based consultation. The data can be communicated to scientific associations, relative public or private agencies related to CME, financial and banking intermediaries, as well as companies participating in the Congress with promotional functions compatible with the purposes for which the data has been collected. The provision of your personal data is voluntary, but refusal will prevent your participation to the Congress. Under section 7 of the Legislative Decree no. 196 of 30 June 2003 you have the right to object to the processing of your personal data for the purposes relevant to the collection, for purposes of sending advertising materials or direct selling or else for the performance of market or commercial communication surveys. Any requests can be addressed to AIM Group International – AIM Congress, Via Ripamonti 129, 20141 Milan, Italy.

I authorize the treatment and communication of my personal data as described above.

Date ______Signature ______

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