=================================================================================== HOTEL RESERVATION FORM SMI '99 University of Aizu, Aizu-Wakamatsu, Fukushima, Japan 1-4 March, 1999 Aizu-Wakamatsu Washington Hotel Print in black ink or type. Form must be received via mail or fax by February 15, 1999. Prof/Dr/Mr/Mrs/Ms/Miss: Surname: Given Name: Position/Title: Organization: Address: State: Postcode: Country: Business Telephone: ( ) Fax: ( ) Signature: Date: ----------------------------------------------------------------------------- I reserve as follows from: to: -------------------- --------------------------- arrival date(mm/dd) departure date(mm/ dd) |-----| Single room |-----| Twin room |-----| Double room | | 6,993 Yen | | 7,776 Yen | | 7,776 Yen |-----| |-----| two beds |-----| one double bed Prices are given in Japanese Yen per room (for one person and one night) including tax and service fee not including breakfast. |---| | | |---| Include breakfast (breakfast charge is 1,133 yen). Hotel Information. Western style hotel. 25 min. on foot to the conference site, 5 min. to the Aizu-Wakamatsu train station. Transportation between hotel and conference site will be provided. Payment by credit card or cash only (Visa, Master Card, AMEX, JCB, Diners Club are acceptable). Total payment must be made during check-in. ----------------------------------------------------------------------------- Return this form by fax at: +81-242-24-7535 or by mail to: Hotel Registration Form for SMI'99 Aizu-Wakamatsu Washington Hotel, 201, Byakko Machi, Aizu-Wakamatsu, Fukushima, Japan 965 Washington Hotel Tel. 81-242-22-6111 =======================================================================================