Country:
Phone:
Fax:
E-mail:

2. I would like to be accommodated in a
SINGLE room (25 Euros/day - breakfast included) Y/N
DOUBLE room (15 Euros/day - breakfast included) Y/N
I want to share the room with:

3. I plan
to arrive on ...

to depart on ...

4. I will pay
a) by bank transfer till 30 June 2001

b) by cash at the registration desk after arrival.

course fee:

accomodation:

total: