REGISTRATION and HOTEL RESERVATION FORM



  Name ________________________________________________________________________ 

  Institution _________________________________________________________________

  Address _____________________________________________________________________

   ____________________________________________________________________________

   ____________________________________________________________________________

  Phone ____________________________ Fax ______________________________________

  E-Mail ______________________________________________________________________






  I want the Workshop to book accommodation for me     yes__       no__
  into  Hotel Europa & Regina




  Arrival Date: ____________________ Departure Date: __________________________



                ..... single room/s  L.299.000, tax and breakfast included
                ..... double room/s  L.469.000, tax and breakfast included






  Please send this form back no later than  July 16, 2001 to:

       Ms. Leopolda Benazzato
       Dipartimento di Fisica
       Via Marzolo, 8
       35131 Padova / Italy
       Phone: ++39-0498277144
       Fax:   ++39-0498277145
       E-mail:NEUTEL@PADOVA.INFN.IT