4th International Cerebral Palsy Conference. Pisa, Italy October 2012 HOTEL ACCOMMODATION FORM

Transcription

1 4th International Cerebral Palsy Conference Pisa, Italy October 2012 HOTEL ACCOMMODATION FORM THE CONGRESS VENUE IS LOCATED DOWNTOWN IN PISA (Palazzo dei Congressi Via Matteotti, Pisa, Italy) EARLY BOOKING IS RECOMMENDED IN ORDER TO RESERVE HOTEL IN THE CITY CENTRE PLEASE SEND THIS FORM WITHIN 25 AUGUST 2012 HOTEL BOOKING WILL NOT BE GUARANTEED AFTER THIS DATE Please fill out in block capitals and fax to: Meridiana Events & Education srl Fax (Total 3 pages) For any questions please contact: Meridiana Events & Education srl [email protected] Ph Fax HOTEL LIST HOTEL HOTEL CATEGORY Distance from the Congress Venue Cost Single Room EUR Cost Double Room EUR HOTEL BONANNO * 4**** 3 KM 105,00 120,00 GRAND HOTEL DUOMO * 4**** 2,5 KM 135,00 160,00 ROYAL VICTORIA HOTEL 3*** 1,3 KM 130,00 130,00 HOTEL SAN RANIERI * 4**** 3 KM 149,00 169,00 HOTEL TERMINUS & 3*** 1,1 KM PLAZA 90,00 100,00 HOTEL TOURING 3*** 1,1 KM 99,00 109,00

2 4th International Cerebral Palsy Conference Pisa, Italy October 2012 * These hotels are accessible for people with disability. Rooms subject to availability. Rates are per room per night, including breakfast and VAT. The City Tax, which is not included in the above mentioned rates, is going to be introduced in Pisa from 1 st March The cost of the City Tax will be Eur 2,00 per person per night and it must be paid directly at hotel at check out. Triple rooms and extrabeds for children available upon request, please contact [email protected] Shuttle to / from the Congress Venue Most of the hotel are walking distance from the congress venue (15-25 minutes). The congress venue is located downtown in Pisa and can be easily reached by public transport: City Bus LAM BLU Bus Stop Matteotti 2 direction Cisanello Hospital Railway Station (Hotel San Ranieri) Bus Stop Matteotti 3 direction Railway Station - Cisanello Hospital Buses are running every 10 minutes PERSONAL DETAILS Family Name First Name Address ZIP City State / Prov. Country Phone (including international code) Fax (including international code) HOTEL RESERVATION Please indicate your choice: 1ST CHOICE 2ND CHOICE Arrival Date Departure Date Nights nr. Room Single Double In case of Double Room please specify: One bed Two beds Name of the person you are sharing the room with Special needs (subject to availability)

3 4th International Cerebral Palsy Conference Pisa, Italy October 2012 PAYMENT METHOD A credit card number is requested in order to confirm and guarantee the reservation. The total amount of the hotel reservation has to be paid directly to the hotel at check out. The hotel will invoice you for the paid amount. The credit card will be charged for the 1 st room night only in case of no-show or late cancellation (see cancellation policy). VISA MASTERCARD CARD NUMBER EXP. DATE (MM/YY) CARD HOLDER S NAME VERIFICATION CODE (The verification code is a three-digit number on the back of the credit card) SIGNATURE DATE CANCELLATION POLICY Any cancellations must be sent in writing by to [email protected] Cancellation received by 19 September > no penalty Cancellation received after 19 September 2012 and no show -> penalty of one room night GENERAL INFORMATION Acknowledgment of your booking and the hotel confirmation voucher will be sent to the participant s address, as indicated in the form. Please review all information carefully. Check in time is 2 pm Room assignments prior to that time depend on the availability of the room. Check out time is 12 pm - Late check out is provided based on availability and is subject to the hotel s business needs. I have read and agree to the above term and conditions PRIVACY POLICY By sending in this registration form, I acknowledge that this form will be logged in a Competency Group maintained conference list. I allow the conference secretariat to send me updated information about the ICPC I will be allowed to contact the conference secretariat anytime in order to remove my form from the list. Information Note pursuant to Art. 13 of the Italian Civil Code concerning personal information protection (under Legislative Decree #196 dated 30 June 2003, containing the Consolidating Act regulating the protection of persons and other entities as to the processing of their personal information). Your personal information and details made available for the purpose of registration to this event will be processed in compliance with the above-mentioned legal provisions and confidentiality obligations that inspire MERIDIANA EVENTS & EDUCATION s activity. Your personal information will be processed to proceed with Your registration and send You further information materials regarding our organization s activities. I consent to my personal information being processed for the purposes specified in this Information Note. I do not consent to my personal information being processed, unless for registration to this event. Date Signature

4 4TH INTERNATIONAL CEREBRAL PALSY CONFERENCE OCTOBER 2012, PISA Low cost accommodation in Pisa Meridiana does not book 2 star hotels and B&B. This list of 2 star hotels, B&B and hostel is provided for individual direct hotels/rooms bookings. Meridiana Events & Education Professional Congress Organizer & Meridiana Destination Travel Agency assume no responsibility for any unsuccessful booking of the suggested hotel. HOTEL VILLA PRIMAVERA Pisa (PI) - 43, v. Pisano Bonanno Tel Fax [email protected] HOTEL ASTOR Pisa (PI) - 22, v. Manzoni - Pisa Tel Fax HOTEL CECILE Via Roma ang. Via Volta n Pisa Tel Fax HOTEL LA TORRE Via C. Battisti n Pisa Tel Fax HOTEL AMALFITANA Via Roma n Pisa Tel Fax HOTEL TULIPAN Via Pietrasantina n Pisa Tel Fax

5 HOTEL HELVETIA Via G. Boschi n Pisa Ph Fax B&B DELFO Via Montello n Pisa Ph GLI ARLECCHINI B&B Via A. Manzoni n Pisa Ph / LE DONZELLE B&B Vicolo delle Donzelle n Pisa Ph RELAIS SASSETTI Via San Francesco n Pisa Ph B&B ARCOBALENO Via F. Filzi n Pisa Ph Fax RELAIS UNDER THE TOWER Via S. Maria n Pisa B&B CLAUDIA FERRI Via II Settembre n. 15/d Pisa Ph/Fax B&B DELLE TRE DONZELLE Via Trieste n. 1 - Pisa Ph B&B SANTA CHIARA Via Derna n Pisa Ph /

6 B&B SUNNY CORNER Via L. Da Vinci n Pisa Ph B&B 4ROOMS Via B. Pisano n Pisa Ph B&B DEI CAVALIERI Piazza Sant Antonio n. 4 - Pisa Ph B&B CENTRO STORICO Corso Italia n Pisa Ph B&B IL GIRAMONDO Via Lavagna n Pisa Ph LOCANDA LA LANTERNA Via S. Maria n Pisa Ph ANTICA LOCANDA DI SAN RANIERI Via dei Risorti n Pisa Ph B&B LA COCCINELLA Via Gobetti n Pisa Ph B&B IL BONSAI Via L. Gereschi n Pisa Ph B&B DUE BORGHI Vicolo del Tinti n Pisa Ph

7 B&B VILLA THERESA Via della Foglia n Pisa Ph B&B A DUE PASSI DAL CENTRO Via G. Randaccio n. 21/A Pisa Ph HOSTEL PISA Via Corridoni, Pisa Ph