PATMOS '95 - Hotel Reservation Form

Please return before Sept. 15, 95 to:

PATMOS'95 secretary Andrea Heinen,
OFFIS
Escherweg 2
D-26121 Oldenburg, Germany
Fax:    +49 (0) 4 41/ 97 22-1 02


Please reserve a hotel room: Name: ................................................... First Name: ................................................... Address: ................................................... City: ................................................... Postalcode/ZIP: ................................................... Country: ................................................... Phone: ................................................... Fax: ................................................... Arrival: ................................................... Departure: ................................................... Please circle: Preferred Category: A B Room: single double In case your preferred category is fully booked, a reservation will be made in the alternative category as long as available. Date/Signature: ...................................................

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