Hotel category	single room (in EURO)	double room (in EURO)	double as single room (in EURO)
****	90	140	116
***	80	120	95

I wish to reserve:

n. ............................ room/s	single
n. ........................... room/s	double as single
n. ............................ room/s	double with........................................................
in hotel category:	****
	***

Arrival date: ............................................ Departure date: ..........................................................

SUMMARY OF PAYMENTS (in EURO)
Registration fee	......................................................................
Student fee	......................................................................
Hotel deposit	......................................................................
Booking fee	......................................................................
TOTAL AMOUNT	......................................................................

I choose to pay by: (Please, mark your choice)

• non-transferable bank cheque headed to COGEST M. & C.
• Money order in favour of COGEST M. & C. on the current account n. 3244/1, CARIPLO BANK, address: Corso Porta Palio, Verona (Italy), ABI code: 6070, CAB code: 11700, specifying the name of the sender. I enclose copy of the bank accountant showing the effected transaction.
• Credit card (Mastercard, Visa, Cartasì, Eurocard):
  Printed name as it appears on the card: ...................................................................
  Birth date: ................................... Card number ............................................................
  Expiry date: ................................... Signature ..................................................................

To be sent to:	COGEST M. & C.
	Vicolo San Silvestro 6	fax: +39 045 597265
	37122 Verona (Italy)	e-mail: cogest@tin.it

Date: .................................... Signature: ........................................................................................