A Celebration for Vijay Pandharipande's Sixtieth Birthday
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 ___________________________