CELMEC III hotel reservation

Reservation form for a room at the
Residence "Parco degli Ulivi"
(Monte Porzio Catone):

to be returned to celmec@mat.uniroma2.it NOT LATER than APRIL 25.

LAST NAME:
FIRST NAME:
NATIONALITY:
DATE OF ARRIVAL:
DATE OF DEPARTURE:
SINGLE ROOM: (YES/NO)
DOUBLE ROOM: (YES/NO)

(If you choose a double room, please indicate the person with whom you share the room).