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