First name:

Last name:

Mailing address:

Phone Number
(with area code):

Fax Number:

Email address:

I request accommodation for 6 5 4 3 2 1 person(s) at the Lloyd's Baia Hotel

Single room (euro 630 per person)

Double room shared with /any participant (euro 510 per person)

Number of children sharing parents' room (30% discount) 3 2 1

Specify special requirements

Accommodation is granted on a first come first served basis. After that accommodation may be arranged at other hotels subject to availability.

Cancellation Policy: should you be unable to attend the conference please inform immediately the hotel management. In case of cancellation after May 5, the deposit will not be refunded.

I remit a one-night deposit per person (euro 85/105 in double/single room) for 6 5 4 3 2 1 person(s)

Method of payment:   Credit Card by    Phone Ordinary Mail Fax           Money Order

Make Money Orders payable to: Baia Hotel S.R.L., Via De Marinis 2
84019 Vietri sul Mare (Salerno)

Bank: Monte dei Paschi di Siena (Salerno) IBAN: IT26S0103015200000003745401
BiC: PASCITMMSAL