BIANNUAL SCIENTIFIC MEETING

Form Accommodation

Accommodation to make hotel reservations

Reservation

Hotel*

Number of Rooms Booked*

Check in

Check out

Number of night

Note

Only Deluxe Room, with different day types, ie:

Guest Information

Full Name with Title*

Institution*

Email*

Phone Number*

Sponsor

Sponsor Contact

*if there is no sponsor, write "Personal"