LET-WEB3D Udine (Italy), September 31 - October, 1 2004

REGISTRATION AND ACCOMODATION FORM

Please COMPLETE the following form, PRINT it, and
SEND it by FAX to: +39 0432 558 450

Title:  Last Name: First Name:
Affiliation:
Address:
City:  Zip code:
Country:
Telephone:   Fax:
Email:

Hotel Booking

Please see http://hcilab.uniud.it/let-web3d/registration.html for hotel details.

I wish to make a reservation at the hotel
From : September 2004 To : October 2004
number of nights : type of room chosen
  • Barring further communication the reservations requested are confirmed.
  • For any modification, please contact directly the Hotel.
  • In the case of arrival later than the date given on the Hotel booking form, without a written cancellation, the Hotel will charge for the first night.

Hotel reservation needs to be guaranteed by credit card


Credit Card  
VISA MASTERCARD
Card Number: Expiry Date (dd/mm/yyyy): / /
Card Holder (capital letters):
 
Card Holder Signature ___________________________________________

In accordance with the Italian privacy law (n. 675/96) we hereby declare that any personal information in our possession will be used only for the purposes of the organization of the Conference.

Insurance. The Workshop Organizers cannot accept liability for personal injuries sustained, for loss of, or damage to, property belonging to Workshop participants (or accompanying persons), either during or as a result of the Workshop and/or social events. Please check the validity of your own insurance.

Liability. The Workshop Organizers will rely on third parties (such as hotels, transportation companies, restaurants, catering companies, conference center, technical equipment providers, publishers,...) to organize some events. The Workshop Organizers shall in no event be liable for acts or defaults in the event of injury, damage, loss, accident, delay or irregularity of any kind whatsoever during arrangements organized through third parties. All disputes are subject to Italian Law.

I have read and I accept the above conditions.
 Date (dd/mm/yyyy) : / /   Signature :____________________________