Accomodation form to be returned to the following addres before April 11, 1997 Palais du Grand Large BP 109 35407 Saint-Malo Cedex - France Tél : +33 2 99 20 60 20 Fax : +33 2 99 20 60 30

1- IDENTITY :

Mrs

Miss

Mr

NAME: ........................................................ First name: .....................................

Affiliation/Institution: ............................................................................................ Address: ................................................................................................................ Zip code .......................... Town ............................... Country .............................. Phone .............................. Fax ................................. Email ...................................

2- HOTEL RESERVATION

Check-in date......................Approximate time of arrival in St-Malo.................... Check-out date....................Approximate time of departure from St-Malo....................                                                      i.e:........ nights

Transportation

CAR

TRAIN

PLANE

Please, indicate your choice (NB : hotels are all located at a walking distance)

Price per room, per night, including breakfast & taxes	HOTEL 3* from/to	HOTEL 2* from/to	HOTEL 1* from/to
Single (for 1 person)	435 FF/ 500 FF	305 FF/ 375 FF	250 FF
Double (2 people/ 1 large bed)	555 FF/ 600 FF	390 FF/ 490 FF	280 FF
Twin (*) (2 people/ 2 twin beds)	555 FF/ 600 FF	390 FF/ 490 FF	280 FF
DEPOSIT per room	400 FF	300 FF	250 FF

(*)Roomate request : .............................................................................................
NB: If you choose a twin without mentionning a roommate, one will be automatically assigned. If no roommate can be found, a single room will be automatocally reserved.

3- PAYMENT

Hotel deposit (depending on the hotel category requested).......................FF + Reservation fees .......................................................................................75 FF * By Bank cheque wording in french francs drawn out a french bank, ordered to PNPM/PGL By credit card,          Visa          Master Credit card number /_/_/_/_/ /_/_/_/_/ /_/_/_/_/ /_/_/_/_/ /_/_/_/ Expiration date /_/_//_/_/_/_/ Name on credit card:...............................    Cardholder signature

Note Bene : All rooms will be reserved on a first come first served basis. Beyond April 11, 1997, the Accomodation Bureau is allowed to change your request according on the available rooms left. A confirmation letter will be sent to the above mentioned address, including location and address of your hotel.
In case of cancellation, there is no refund of deposit. Please pay the balance directly to the hotel before your departure. For any further information related to the conferences, please contact directly: