Please complete this form and send it by email, or fax to:

Daniele Guadagno , Golden Group - Hotel Holiday, Bologna (Italy)

fax: +39 051 235326 e-mail: daniele.guadagno@hotelholiday-bo.com

	Last name	First name	
	Title	Affiliation
	Address
	Zip Code	City	
	Daytime telephone	Fax	e-mail
	Date of arrival	Date of departure	Number of nights
Please book:	Room for 1 person	DUS	twin/double	
***** hotel	x	150 €	200 €	
**** hotel	85 €	90 €	100 €	
*** hotel	80 €	90 €	90 €	
The above-mentioned prices are per room/per night, breakfast included Availability guaranteed before June 30, 2009 Only for ***** hotel: availability guaranteed before April 30, 2009	

Hotel reservations and credit card numbers with expiry date (only as a guarantee) has to be received by Mr Guadagno who will confirm the hotel reservation. You will pay directly at the hotel.

A double room for single use will be assigned in case no single rooms are no longer available. Cancellations and/or changes should be made in writing to the address shown in this form.

Method of Payment

Direct payment at the Hotel.

VISA	EUROCARD/MASTERCARD	AMERICAN EXPRESS
Name (as it appears on Credit Card)			
Card number																	Exp. date			/				
Signature		Date

X-RAY Astronomy 2009 Aula Absidale Santa Lucia 07-11 September, 2009 Bologna - Italy

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P.IVA 02268911209

Il Comitato Organizzatore SIRR 2006 offre alla Ditta

Zia Ciccio

2007-11-20T11:41:00