IEEE Travel and Conference Management Services Department, ITCMS
ATTN: IAS 2000 Registrar
445 Hoes Lane, P. O. Box 1331, Piscataway, NJ 08855-1331, USA

Fax: 1-732-981-1203 mtg-reg-serv@ieee.org
1-800-810-4333 or 1-732-562-3878 (Conference)
1-800-678-4333 (General IEEE)

NAME (Please complete this form using capital letters)

COMPANY

STREET ADDRESS

CITY/STATE/ZIP/COUNTRY

PHONE

FAX

E-MAIL ADDRESS

Single or double occupancy room ITL 393,750 /€ 203.35 (Continental breakfast, VAT and Service charge included)

Reserve _____ room(s) for _____ person(s)

Approx. Arrival Time: _____

AM

/

PM

(please circle)

Arrival Date: (D/M/Y)

 /

 /

00

Departure Date: (D/M/Y)

/

/

00

Special requests: (Cannot be guaranteed; however, we will make every effort to accommodate you)

Smoking: ____

Non-Smoking:____

 One Bed: ___

Two Beds: ___

Other / Specify:

CREDIT CARD INFORMATION (First night's deposit: In order to guarantee your accommodation, you MUST include credit card information. If you do not supply this information, we will not be able to process your reservation with hotel.)

TYPE (Visa, M/C, AMEX, Discover, etc.):

CARD NUMBER:

CARD HOLDER'S NAME (Exactly as shown on card):

EXPIRATION DATE

Signature:

Date:

Sheraton Roma Hotel shall provide written confirmation of room reservation directly to guests. The bookings will be processed only after the receipt of the Conference Registration Form.