HOTEL RESERVATION FORM ISMM'98
                    (use only for selected hotels)


name of hotel:    ____________________________________________________

address of hotel: ____________________________________________________
 
                  ____________________________________________________




ISMM'98 PARTICIPANT:
 
Name ____________________________ First Name/Title ____________________

Affiliation ___________________________________________________________

Address     ___________________________________________________________

            ___________________________________________________________

Zip/City    ___________________________________________________________

Country     ___________________________________________________________


Telephone   _______________ Fax __________________ E-mail _____________




[  ] Check here if you have special needs. Please specify: 

________________________________________________________ 


                             
Arrival date:     ____________________ 1998

Arrival time:     ____________________ hour

Departure date:   ____________________ 1998


[ ] Single room/ rate: DFL _______________________ per night  (see above)

[ ] Double room/ rate: DFL _______________________ per night  (see above)

Accompanying person (in case of double room): ________________________


CREDIT CARD:

[ ] Euro/Master card     [ ] Visa        [ ] American Express  

[ ] Other: ___________________________________________________________

Card number ___________________ Exp. date ____________________________

Cardholder's signature   _____________________________________________