Hotel Accomodation Form

Please fax the completed form as soon as possible (latest: September), to:

HAVAS ESA Paris
c/o Mme. Yvette Bonnefoy
fax: +33 (0)1 53 69 75 60

THE UNIVERSE AS SEEN BY ISO

20-23 October 1998 at UNESCO 125, avenue de Suffren 75007 Paris, France

Family name ................................................
First name ...................................................
Title .....................

Institute/Organisation.....................................
Street............................................................
City........................... Postal Code................ Country.....................

Phone....................... Fax..............................

Number of accompanying person(s)...............

Category of Hotel ** / *** / ****

Location Nearby Unesco / Other Arrondissement (5eme / 6eme / 4eme)

Arrival date......................................
Departure date ................................

Credit Card MC / VISA / AMEX / DINERS CLUB

Credit Card number......................... Expiration date.........................

Cardholder Name ........................... (please print)
Cardholder Address.............................................
(if other than above) .............................................

Signature........................................... Date.......................................

Note - The approximate prices of the hotels are as follows:

Hotel ** single 420 FRF / double 475 FRF
Hotel *** single 580 FRF / double 620 FRF
Hotel **** single 950 FRF / double 1100 FRF

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