HOTEL CITY MARIBOR**** Kneza Koclja 22, SI-2000 Maribor, Slovenia Ulica 22. 06. – 24. 06. 2015 REGISTRATION and HOTEL BOOKING FORM BOOKING CODE: CESCIT2015 REGISTRATION and RESERVATION NAME: Surname: _____________________________First name: ____________________________________________ Company: __________________________________Adress:__________________________________________ Fax:__________________________________Phone:________________________________________________ E-mail:____________________________________ VAT Nr: __________________________________________ Arrival date___________________________ Departure date______________________________  I wish to book accommodation in HOTEL CITY MARIBOR**** - VENUE HOTEL  Single room 65€  Double room-single use 71,50€  Double room 91€ Second person in double room_____________________________________________________  I do not wish to book a room in Hotel City I want to pay for:  Conference fee    (380€ regular, 400€ late, 200€ student) Additional banquet tickets No. (50€ per person) No. Additional lunch tickets (18€ per lunch per person) Accommodation (necessary for reservation guarantee only, will be payed on site) TOTAL Price of the room includes: Accommodation in the selected room, buffet breakfast. Supplement: for room Superior 10,00 € per person per day (in Hotel City Maribor****). Tourist tax 1,27 EUR per person per day. Conference fee includes conference participation and services, coffee breaks, lunches with a drink for 22.-24. June, and conference banquet  I want to pay the fee by bank transfer: Bank of Slovenia, addr: Slovenska 35, 1505 Ljubljana IBAN: SI56 01100-6090106039 SWIFT CODE (BIC): BSLJSI2X Purpose: CESCIT2015 Reference: 3243 Address: University of Maribor, Faculty of Electrical Engineering and Computer Science Smetanova 17, SI-2000 Maribor, Slovenia VAT no. 71674705 All bank charges are to be payed by remitter. Please return this form until 30.04.2015 via fax or scanned by email: Hotel City Maribor**** Ulica kneza Koclja 22 SI - 2000 Maribor with CC to [email protected] Fax: +386 (0)2 29 27 001 E-mail: [email protected] Web: www.cityhotel-mb.si