IEEE 802.16
Session #17
REGISTRATION & HOTEL RESERVATION
LEVI, FINLAND 21-25 JANUARY 2002
1 (1)
Kindly fill in the following information and return the filled form to Merja Korvenpää, by e-mail:
merja.korvenpaa@rosenbluth.fi or by fax +358-9-8620 1131. Please submit the form as soon as
possible to increase your chances of receiving a room reservation.
1. Registration Form
Conference fee of 130 EUR
Conference fee will be processed by Rosenbluth International, receipt will be sent later on in January
2002 to the address below.
2. Hotel Reservation
Hotel Levitunturi, FIN-99130 SIRKKA, FINLAND, tel. + 358 16 646 301
http://www.hotellilevitunturi.fi/
Room type (rate includes breakfast and free entrance to David-Center gym), pls mark you choice with X:
EUR 87 / single room/night:
EUR 104 / double room/night:
Hotel Cancellation Policy:
- between 89-60 days before arrival, 25 % for the first night
- between 59-30 days before arrival, 40 % for the first night
- between 29-08 days before arrival, 100 % for the first night
- 07 days before arrival 100 % for the total accommodation
Conference fee:
No refund if cancelled less than 14 days before arrival.
Hereby I authorize Rosenbluth International to debit my Credit Card with the Conference Fee and
Accommodation costs. Credit card charges for total costs will be processed
at the begin of January 2002.
Company
First name
Family name
Full address
Phone
Fax
E-mail
Arrival Date
Arriving by Flight#
Departure Date
Other information
Mobile:
Fixed line:
(non smoking, late arrival, special dietary
requirements etc.)
Credit Card type
Card number
Expire date
CVC number
(the last 3 extra numbers on the reverse
side above your signature – required for
MasterCard, Eurocard and Visa)
Hietalahdenranta 13, FIN-00 180 HELSINKI
tel. +358-9-8620 1116 , fax +358-9-8620 1131