BOOKING FORM FOR 6th MICROBUNCHING WORKSHOP, ELETTRA  
6-8 October 2014
Starhotels Savoia Excelsior Palace

For overnight accommodation at the Starhotels Savoia Excelsior Palace - Trieste, Riva del Mandracchio, 4 - 34124 - Trieste, please fill in this form and send it back: 
- by fax: +39 040 638260; 
- by e-mail: reservations.savoiaexcelsior.ts@starhotels.it. 
If you have any questions or wishes, please, contact us by phone: +39 040 77941.

First Name:	 	
Last name:		
Telephone number:	 	
E-mail address: 	 	
Name of Accompanying Person (if any)	 	
Arrival date:	 	
Number of nights:		
Departure date:		

	 Please, specify room preference	
Classic Single Occupancy 140,00 € per room, per night incl. VAT 10%and breakfast 		
Superior Single Occupancy 165,00 € per room, per night incl. VAT 10%, breakfast and Wi Fi connection		
Supplement for double occupancy Euro 20,00		

In order to guarantee your booking, please provide the following:	
Credit Card Number	 	
Credit Card Expiry date	 	
Credit Card Type (VISA, AMEX, DINERS, MASTERCARD.) and holder’s name	 	

Our cancellation policy:

Your reservation can be cancelled free of charge until 6th September 2014. 
Late cancellation fees: – 	from 7th to 30th Sept:1 night amount will be charged; 
from 1st Oct to arrival day, and for no show, 100% of reserved nights will be charged.

Your signature: 						Date: 

Please send your reservation before 15th July 2014-  After this date, rates and availability may not be guaranteed

For a smoother check in proceedure, please fill in the following form with all the details required:

Guest 1	 	Guest 2	 	
Family Name	 	Family Name	 	
First Name	 	First Name	 	
Nationality	 	Nationality	 	
Date of birth	 	Date of birth	 	
Place of birth	 	Place of birth	 	
Type of document	 	Type of document	 	
Nr of Passport		Nr of Passport		
Place of issue	 	Place of issue	 	
Date of Issue	 	Date of Issue	 	

We are looking forward to welcoming you at Savoia Excelsior Palace!