Mrs Brigitte PAPILLON
Palais des Congrès - Service Hébergement
Place de Bordeaux
67082 STRASBOURG CEDEX (France)
Phone: +33 3 88 37 67 67
Fax: +33 3 88 37 38 43
hotel@strasbourgmeeting.com
E-MRS - IUMRS - ICEM 2000
May 30-June 2, 2000

HOTEL RESERVATION FORM
Please complete this form and send it to the above printed address before April 27, 2000. 
    LAST NAME : 
   FIRST NAME : 
  INSTITUTION : 
   DEPARTMENT : 
STREET/PO Box : 
     ZIP/CITY : 
      COUNTRY : 
        PHONE : 
          FAX : 
        email :

VERY IMPORTANT: No reservation will be made without its corresponding payment. We will send a
voucher to each participant with the name and address of the hotel.

CANCELLATION: In case of written cancellation two weeks before the conference, the deposit will be
refunded (reservation fees excluded). After that date, no refund will be possible.

PRICE FOR ONE NIGHT. Without breakfast. TAXES AND SERVICE INCLUDED.

Hotel category Single Double Hotel deposit + Reservation fees   Total
4-stars 850 850 850 + 75 = 925 FRF per room
3-stars 495/650 595/700 550 + 75 = 625 FRF per room
2-stars 290/405 310/450 400 + 75 = 475 FRF per room
1-star 185/230 205/270 200 + 75 = 275 FRF per room 
PLEASE RESERVE:
4-stars YES NO   3-stars YES NO   2-stars YES NO
1-star : For the reservation in this hotel category, please contact the Congress Center by phone: +33 3 88 37 67 87. 
SINGLE ROOM(S)    :  DOUBLE ROOM(S) : 
DATE OF ARRIVAL   :  ARRIVAL TIME   : 
DATE OF DEPARTURE :  DEPARTURE TIME : 
NUMBER OF NIGHT(S):  I WILL ARRIVE BY PLANE/TRAIN CAR 

PAYMENT 
PLEASE FIND ENCLOSED:   
A CHEQUE/EUROCHEQUE PAYABLE TO THE PALAIS DES CONGRES
A BANKTRANSFER TO OUR BANK ACCOUNT 
   No. 1032075506/627 - Counter : 00108 - Bank: 10067 - with the Bank SOGENAL (Tivoli) Strasbourg.
  (Please send us a copy of your banktransfer stating your name).
CREDIT CARD
   I authorise the Palais des Congrès to charge my credit card with the amount of FRF. 
   VISA     MASTERCARD     EUROCARD   
  CARDNUMBER :  EXPIRATION DATE : 
  CARD HOLDER'S SIGNATURE :  

BANK CHARGES MUST BE PAID BY THE CUSTOMER.
En application de l’article L. 27 du 06/01/78, les informations ici demandées sont nécessaires au traitement de votre demande et aux services associés.
Les catégories de destinataires sont uniquement celles nécessaires à l’exécution de cette réservation et aux services associés du Groupe.
Vous pouvez accéder aux informations vous concernant et procéder éventuellement aux rectifications nécessaires auprès de notre service.