MOSIS'02/ISM'02

Accommodation Binding Form

The Hotel RELAX, Rožnov p. R., Czech Republic

Prices:

single room per day:    800 - 1000 Kč (CZK)

double room per day: 900 - 1100 Kč (CZK)

  (each person  450 - 550 Kč)

Binding Application Form for accommodation:

from April 21 to April 22           yes - no

from April 22 to April 23                yes - no

from April 23 to April 24             yes - no

from April 24 to April 25             yes - no

Single room     yes - no

Double room                 yes - no (with:................................)

Name:

Address:

My contact (telephone, fax or e-mail):

Please, send this order form to:

Hotel Relax

Mrs. Koglerová

ul. Lesní 1689

756 61 Rožnov p. Radhoštěm

Czech Republic

or fax: +420(0)651 648 106

or telephone: +420(0)651 648 105 (8:00 - 14:00 hours)

Deadline for accommodation form: March 31, 2002