Booking Form to be sent back to the agency YES Meet at [email protected] or fax at # 00390818770258 before the 31st of January 2015. Family name: First name: Affiliation: Address, Country: Telephone: E-mail: Please reserve the following room(s) at SAN SERVOLO (Conference Venue) Check-in date: Room Type Check-out date: Rates VAT included (*) Room(s) Single Room Euro 105,00 N. … Double Room Euro 145,00 N. … Triple Room Euro 180,00 N. … (*) A continental breakfast is provided with a surcharge of Euro 7,50 per person per day. Venice tourist tax (Euro 1,40 per guest per night) is not included in the rates. This is payable at the check-out. One night hotel deposit payment is required in order to reserve your room/s. You will have to pay for the balance of your reservation directly at San Servolo during your stay. Please, select the payment method you prefer. You will receive a booking confirmation e-mail from YES Meet soon after your payment is received. □ PAYMENT BY CREDIT CARD (to be filled) I authorise to charge the amount of Euro ………………(one night hotel deposit). CREDIT CARD TYPE Visa □ Mastercard □ American Express □ Owner name ……………………………………… Card number: …………………………………………… Expiry date ………. / ………. Security Number* ………………… Owner Signature …………………………………………… (*Visa and MasterCard : last three digits on the reverse side of the card; American Express: four digit code on the front side of the card above the number) □ PAYMENT BY BANK TRANSFER - I will transfer Euro …………… (one night hotel deposit). Beneficiary Company: Yes Meet - address: Via S. Nicola, 4 - 80067 Sorrento (NA), Italy Bank: Banco di Napoli – Filiale di Sorrento Account number: 1000 / 00003235 Iban code: IT34Z0101040260100000003235 Beneficiary Bank Bic/Swift code: IBSPITNA Please ensure that your NAME and the words "Booking for COUPLED" appear on your bank transfer order. A copy of the bank receipt must be sent to the Organizing Secretariat YES Meet: Email [email protected] Fax +39 081 8770258 INFORMATION AND CONSENT: Pursuant to the legislative decree no. 196/2003 Data Protection Code, YES MEET declares that the data processing is essential for the purposes connected with the performance of the services provided. With this signature I permit the use of my personal data for the purposes related to these services only and in compliance with the above mentioned legal regulations. Cancellation Policy: To cancel the stay, the Participant must write to YES Meet Secretariat at [email protected] or fax n° +39 0818770258. Following cancellation policy will be applied considering when your notification will be received from YES Meet: The deposit of the first night is not refundable. From the 17th March and the 15th April 2015: the 60% of the cost of the entire stay booked will be charged as penalty. From the 16th April and the 8th May 2015: the 70% of the cost of the entire stay booked will be charged as penalty. From the 9th May 2015 for any cancellation, reduction of the stays booked and no-shows: the 100% of the cost of the entire stay booked will be charged as penalty. Signature ……………………………………………………. Date …………………………… YES Meet di Francesco Schisano – Via San Nicola, 4 Sorrento 80067 (NA) TEL +39 081 8770604 - FAX +39 081 8770258 E-mail: [email protected] Webpage: www.yesmeet.it 1/1