To reserve hotel accommodations in Oslo for ICTE Oslo 1997, print out this form, complete it, and FAX or mail the completed form to: Meeting Management -- 14th ICTE Niels Juelsgt. 39, 0257 Oslo, Norway Fax. + 47 22 56 35 10 Please print or use block letters: Last Name ____________________________________________________________ First Name __________________________________________________________ Organization _________________________________________________________ Address for Correspondence ___________________________________________ ____________________________________________________________________ Post Code ______________________ Country ____________________________ Daytime Tel. ________________ FAX________________ e-mail _____________ Arrival Date ____________________ Departure Date ____________________ Number of Nights _______ Estimated time of arrival ___________________ Enter desired hotel and room selection, and other options that apply (single or double room, etc.) -- see separate hotel list under Hotels ICTE Oslo 1997. Prices are per room and include breakfast. First Choice -- Hotel _________________________________________ Single ____ Double ____ Other _________________ Second Choice -- Hotel _________________________________________ Single ____ Double ____ Other _________________ Third Choice -- Hotel _________________________________________ Single ____ Double ____ Other _________________ Smoking ____ Non-Smoking ____ Name of second person if applicable ___________________________________ Please confirm my reservation by: ____ FAX ____ Mail Guest is responsible for payment directly to hotel upon departure. Credit Card guarantee or an institution Purchase Order is required. Last date for cancellation is July 25, 1997. If you cancel your hotel reservation after July 25, 1997, you may be responsible for the room for the period you booked unless the hotel can re-book the room, in which case you would only be responsible for any un-booked days during the original period for which you booked. I wish to pay by (check one): __ American Express __ Diners Club __ MasterCard __ Visa Credit Card Number ________________________ Expiration Date ___________ Print name as appears on card _________________________________________ Signature __________________________________________ Date______________
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