MHD COUETTE FLOWS: EXPERIMENTS AND SIMULATIONS 29 February - 2 March, 2004, Acitrezza, (Catania), Italy HOTEL RESERVATION FORM In order to make your hotel reservation, please follow these instructions: Print out the form below, fill it in, sign it and fax it to Marina Palace Hotel at the number: +39 095 7117861 (from USA dial 011 39 095 7117861) Last Name:_________________________________ First Name:________________________________________ I wish to reserve No. _____ double room (single occupancy) /double room Arrival date_____________ Departure date________________ No. of nights___________________ Name(s) of accompanying person(s)________________________________ Special requirements_____________________________________________ Signature:______________________________________ Marina Palace Hotel, Via Provinciale, 1 95026 Acitrezza (Catania), Italy Phone: +39 095 7117800; Fax +39 095 7117861; e-mail: info@marinapalace.it