33YoGB hotel reservation form

   Name:................................................................

   Affiliation:.........................................................

   Full address:........................................................

   .....................................................................

   Country:.............................................................

   e-mail:..............................................................

   Telephone:...........................................................

   Telefax:.............................................................


   o  single room   ATS 650 - 800

   o  double room   ATS 900 - 1000

   o  student residence   ATS 430

   If double room, shares room with ....................................

   .....................................................................

   Expected date of arrival: ........................................... 

   Expected date of departure: .........................................

   Payment should be made directly to the hotel, when checking out. A
   deposit is not required. Please communicate any changes in arrival or
   departure dates promptly. In case of non-appearance, you can be charged
   for the costs involved.

   Special requests: ...................................................

   .....................................................................

   .....................................................................

   .....................................................................

   Date: ................... Signature: ................................


   The completed form can be either mailed, faxed or emailed to:

          Mrs. Betina Curtis
          RISC-Linz
          Johannes Kepler Universitaet Linz
          A-4040 Linz, Austria

          tel: +43 732 2468 9921
          fax: +43 732 2468 9930
          email: bcurtis@risc.uni-linz.ac.at