"The Nuclear Standard Model: Ieri, Oggi, Domani"

A Celebration for Vijay Pandharipande's Sixtieth Birthday

Elba International Physics Center

June 26-30, 2000

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HOTEL RESERVATION FORM

Type or print clearly and return by February 29, 2000, to:

ORPLID Travel Agency
Via Luperini 5
I-57031 Capoliveri (LI), ITALY

e-mail: orplid@elbalink.it phone: +39-0565-935050 - fax: +39-0565-968595

Please, mail a copy of this form to one of the organizers.

FAMILY NAME _____________________________________________________
FIRST NAME  _____________________________________________________
NAME OF INSTITUTION _____________________________________________
_________________________________________________________________

ADDRESS FOR CORRESPONDENCE

Street  _________________________________________________________
Postal Code and City ____________________________________________
Country _________________________________________________________
Phone  __________________________________________________________
Fax  ____________________________________________________________
E-mail  _________________________________________________________

ACCOMMODATION REQUIRED

Date of arrival ________________ Date of departure ______________
I wish to share my room with ____________________________________
I will be accompanied by ________________________________________

Please check the appropriate entry (prices are in Italian Lire):
Prices are tentative, but should not be far from the actual ones.
More accurate information will be sent as soon as available.


*** 3-star Hotel

              Single Occupancy   Double Occupancy     Half-board    

3-star Hotel  80.000 - 100.000   100.000 - 148.000    +20.000/each
4-star Hotel  150.000            150.000              +15.000/each


The rates are per night and include private bath/shower. 
Please notice that the number of singles is limited and they will be
assigned on a first come first served basis. If the selected category is
not available, the higher category will be selected.

                  2 persons   3 persons   4 persons

3-star Residence   96.000     130.000     150.000
4-star Residence  100.000     115.000     140.000


The rates are per night and per person, and include 1 or 2 room apartments 
with kitchen facilities and private bath/shower; breakfast and daily cleaning 
are not included.

I WILL ARRIVE:

* by plane. On flight ____________________________________________
* by ferry. Estimated Time of Arrival ____________________________
* I need a car ferry reservation. Type of car ____________________
Piombino - Portoferrraio on ___________________ at _______________
Portoferraio - Piombino on ____________________ at _______________




Date _____________________   Signature ___________________________




User Liaison
1/18/2000