4th International Cerebral Palsy Conference. Pisa, Italy 10-13 October 2012 HOTEL ACCOMMODATION FORM



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4th International Cerebral Palsy Conference Pisa, Italy 10-13 October 2012 HOTEL ACCOMMODATION FORM THE CONGRESS VENUE IS LOCATED DOWNTOWN IN PISA (Palazzo dei Congressi Via Matteotti, 1 56124 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 +39 050 974148 (Total 3 pages) For any questions please contact: Meridiana Events & Education srl ilaria.tonelli@meridianaevents.it Ph. +39 050 9711721 Fax +39 050 974148 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

4th International Cerebral Palsy Conference Pisa, Italy 10-13 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 2012. 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 ilaria.tonelli@meridianaevents.it 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) E-mail 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)

4th International Cerebral Palsy Conference Pisa, Italy 10-13 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 e-mail to ilaria.tonelli@meridianaevents.it Cancellation received by 19 September 2012 -> 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 e-mail 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 2012. 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

4TH INTERNATIONAL CEREBRAL PALSY CONFERENCE 10-13 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 56126 Pisa (PI) - 43, v. Pisano Bonanno Tel +39 050 23537 Fax +39 050 27020 info@hotelvillaprimavera.it HOTEL ASTOR 56125 Pisa (PI) - 22, v. Manzoni - Pisa Tel +39 050 44551 Fax +39 050 26001 www.hotelastor.pisa.it HOTEL CECILE Via Roma ang. Via Volta n. 54 - Pisa Tel +39 050 29328 Fax +39 050 20360 www.hotelcecile.it HOTEL LA TORRE Via C. Battisti n. 17 56125 Pisa Tel +39 050 25220 Fax +39 050 503161 www.hotellatorre.pisa.it HOTEL AMALFITANA Via Roma n. 44 56126 Pisa Tel +39 050 29000 Fax +39 050 25218 www.hotelamalfitana.it HOTEL TULIPAN Via Pietrasantina n. 103 56122 Pisa Tel +39 050 557502 Fax +39 050 554835

HOTEL HELVETIA Via G. Boschi n. 31 56126 Pisa Ph +39 050 553084 Fax +39 050 8050277 www.pensionehelvetiapisa.com B&B DELFO Via Montello n. 16 56127 Pisa Ph +39 335 1597976 www.hostelpisadelfo.it GLI ARLECCHINI B&B Via A. Manzoni n. 14 56125 Pisa Ph +39 339 7496062 / +39 329 0127309 www.gliarlecchini.it/trova-bed-breakfast-pisa.php LE DONZELLE B&B Vicolo delle Donzelle n. 3 56126 Pisa Ph +39 328 8192133 www.bbledonzelle.com RELAIS SASSETTI Via San Francesco n. 69-56127 Pisa Ph +039 329 8770611 www.relaissassetti.it B&B ARCOBALENO Via F. Filzi n.19-56123 Pisa Ph +39 328 9049395 Fax +39 050 8312110 www.bbarcobaleno.it RELAIS UNDER THE TOWER Via S. Maria n. 165 - Pisa www.relaisunderthetower.it B&B CLAUDIA FERRI Via II Settembre n. 15/d 56122 Pisa Ph/Fax +39 050 533868 www.bbclaudiaferri.it B&B DELLE TRE DONZELLE Via Trieste n. 1 - Pisa Ph +39 335 7441261 www.delletredonzelle.it B&B SANTA CHIARA Via Derna n. 27 56126 Pisa Ph +39 050 40720 / +39 328 3056595 www.bbsantachiara.it

B&B SUNNY CORNER Via L. Da Vinci n. 5 56122 Pisa Ph +39 335 389000 B&B 4ROOMS Via B. Pisano n. 74 - Pisa Ph +39 050 9911019 www.4roomspisa.it B&B DEI CAVALIERI Piazza Sant Antonio n. 4 - Pisa Ph +39 050 9910597 www.deicavalieri.pisa.it B&B CENTRO STORICO Corso Italia n. 26 56127 Pisa Ph +39 050 45231 www.centrostoricopisa.it B&B IL GIRAMONDO Via Lavagna n. 22 - Pisa Ph +39 392 9122880 www.ilgiramondo.pisa.it LOCANDA LA LANTERNA Via S. Maria n.113 56126 Pisa Ph +39 050 830305 www.locandalalanterna.com ANTICA LOCANDA DI SAN RANIERI Via dei Risorti n. 3 56126 Pisa Ph +39 050 552567 www.anticalocandasanranieri.com B&B LA COCCINELLA Via Gobetti n. 22 - Pisa Ph +39 349 7474508 www.lacoccinellaffittacamere.it B&B IL BONSAI Via L. Gereschi n. 32 56127 Pisa Ph +39 389 995 7575 www.ilbonsaibb.it B&B DUE BORGHI Vicolo del Tinti n. 13 - Pisa Ph +39 349 6002348 www.bbdueborghi.com

B&B VILLA THERESA Via della Foglia n. 13 56100 Pisa Ph +39 050 49159 www.villatheresa.it B&B A DUE PASSI DAL CENTRO Via G. Randaccio n. 21/A 56123 Pisa Ph +39 345 3491218 www.aduepassidalcentro.it HOSTEL PISA Via Corridoni, 29 56125 Pisa Ph + 39 050 5201841 www.hostelpisa.it