2004 IEEE INSTRUMENTATION AND MEASUREMENT TECHNOLOGY CONFERENCE - IMTC 2004 
HOTEL RESERVATION FORM
Please, type clearly!

Last/First Name______________________________________________________________

Organization_________________________________________________________________

Mailing address _____________________________________________________________

_____________________________________________________________________________

City/State/Country/Postal Code_______________________________________________

Phone________________________________________________________________________

Fax__________________________________________________________________________

Email _______________________________________________________________________

Please, reserve the following accommodations:
Number of Rooms 	Room and Hotel Type 	If reservation is received up to 
31 MARCH 2004 	If reservation is received from 
1 APRIL 2004 	
o No. ______ 	single occupancy in a 4* hotel 	120.00 Euro 	138.00 Euro 	
o No. ______	double occupancy in a 4* hotel 	160.00 Euro 	184.00 Euro 	
o No. ______	triple occupancy in a 4* hotel 	180.00 Euro 	207.00 Euro 	
o No. ______	single occupancy in a 3* hotel 	100.00 Euro 	115.00 Euro 	
o No. ______	double occupancy in a 3* hotel 	130.00 Euro 	149.50 Euro 	
o No. ______	triple occupancy in a 3* hotel 	150.00 Euro 	172.50 Euro 	
o No. ______	single occupancy in a 2* hotel 	80.00 Euro 	92.00 Euro 	
o No. ______	double occupancy in a 2* hotel 	100.00 Euro 	115.00 Euro 	
o No. ______	triple occupancy in a 2* hotel 	120.00 Euro 	138.00 Euro 	
Cross the preferred accommodation and insert the number of rooms that you are reserving for each type (otherwise, one is assumed for each cross). Room rates are per night and include buffet breakfast. 
Confirmation will contain the name and the address of the hotel in which the rooms have been reserved. 

Arrival date and approximate time:___________________________________________

Departure date and approximate time:_________________________________________

Number of nights:____________________________________________________________

Reservation must be guaranteed by credit card.

Card Type (cross one):   o MasterCard    o VISA    o American Express    o Diners

Credit Card # _______________________________________________________________

Expiration date _____________________________________________________________

Card Holder _________________________________________________________________

Signature______________________________________________Date__________________

Cancellations will be accepted without penalties if performed before 10 May 2004. Cancellation received from 11 May 2004 are subject to a charge equal to the total amount due for whole reserved period (i.e., the number of reserved night times the daily rate of the reserved room). 

Send the completed hotel reservation form to the hotel reservation service at Grand Hotel di Como by fax to 031-516-600 (attn. Mr. Michele Toncelli) or by email to meeting@grandhoteldicomo.com or manag2@grandhoteldicomo.com