Galileo Galilei Residence

POLITECNICO DASTU MILAN 26-27 JUNE 2017 “Galileo Galilei” Residence Via Filippo Corridoni, 22

Please fill the following reservation form and send it by e-mail to [email protected] within May 30th2017, in order to make your request of booking in the following residence:

“Galileo Galilei” Residence Via Filippo Corridoni, 22 - 20122 Milano - Italy email. [email protected] http://www.residenze.polimi.it/index.php?id=75&L=1

Please, write in the subject: Transforming Care Conference

ROOM RESERVATION Arrival date: ______Departure date: ______(Check-out within 10.00 am)

I would like to book: a single room with private bathroom €45,00/night (housing only)

a single room with bathroom shared with another single room €30,00/night (housing only)

Please note that we have kept a limited number of rooms for the 2 nights of 26th - 27th JUNE 2017 (4 single rooms with private bathroom and 16 single rooms with shared bathroom), therefore we invite guests to book their own room in advance. A person in a room with shared bathroom will have to share the bathroom with a person of the same gender who stays in the other single room. We cannot take into consideration requests of reservation sent to [email protected] after May 30th.

Name/Surname:______Citizenship:______Male Female Profile: Phd student Professor/researcher

Note well: In order to confirm your reservation, you will have to pay in advance the cost of the stay, sending to us the receipt+ a copy of your ID document. It means that, after having received your request of booking and checked our availabilities, we will send to you all the details useful to make the payment related to your stay (non-refundable, by wire transfer or credit card). The deadline to pay the cost of your stay and send to us the receipt+ a copy of your ID document is June 7th 2017. In absence of the proof of payment done and sent within 2017 June 7th, we will not able to confirm your reservation.