COMBINATORICS 2006

Ischia - June 25^th – July 1^st

Please send this form before March 31^th , 2006 to: Hotel Continental Terme - Via M. Mazzella, 74 - 80077 ISCHIA (NA) ITALY, Fax: + 390813336276 – E-mail: contiterme@leohotels.it

Accommodation Reservation Form

Name . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Institution . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

City . . . . . . . . . . . . . . . . . ZC . . . . . . . Country . . . . . . . . . . . . . . . . . . . . . . . . . .

Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax . . . . .. . . . . . . . . . . . . . . . . . . . . . . .

Please reserve the following rooms from (in). . . . . . . . . . . . . . . . to (out): . . . . . . . . . . .

ACCOMMODATION AT HOTEL CONTINENTAL TERME (Conference Center)

per head, per night, Half Board

Twin/Double room................................................................................€ 85,00

Twin/Double single use........................................................................€ 110,00

Single Room available until stocks are finished................................€ 97,00

Twin/Double n° . . . . . . . . . . . . . . (share with ..........................................................)

Double single use n° . . . . . . . . . . . . . . .

Single Room n° . . . . . . . . . . . . . . .

ACCOMMODATION AT OTHER HOTELS (mt. 500/800 from Conference Centre)

per head, per night, bed & breakfast

Three Stars Hotels

Twin/Double room...............................€. 50,00

Twin/Double single use...................... €. 80,00

Twin/Double n° . . . . . . . . . . . . . . (share with ..........................................................)

Double single use n° . . . . . . . . . . . . . . .

Two Stars Hotels

Twin/Double room ..................................€. 40,00

Twin/Double single use...........................€. 55,00

Twin/Double n° . . . . . . . . . . . . . . (share with ..........................................................)

Double single use n° . . . . . . . . . . . . . . .

taxes, service and VAT 10% included

Credit Card for Reservation’s guarantee:

(in case of no-show, we will charge the price of one night’s stay on the credit card)

Card Type …………………………………Card n° #………………………………………..

Expiration Date ……………………... Signature …………………………………………