HOTEL REGISTRATION FORM VISUAL99

Third International Conference on Visual Information Systems

Amsterdam, The Netherlands, June 2-4, 1999

Please fill in the form and return it as soon as possible by regular mail or by fax (as a hard copy), and not by e-mail (which will not be accepted), preferably before April 1, 1999. After April 1, rooms cannot be guaranteed. Print or use a typewriter.

__ Mr / __ Ms

Family name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

First name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Code/City: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Country: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Telephone: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Telefax: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I wish to reserve _ _ _ single room(s)

I wish to reserve _ _ _ double room(s)

Date of arrival: _ _ _ _ _ _ _

Date of departure: _ _ _ _ _ _

	Single room	Twin-bedded room
__ die Port van Cleve	DFL 315 (EUR 142,94)	DFL 315 (EUR 142,94)
__ Mercure A. Frommer	DFL 225 (EUR 102,10)	DFL 285 (EUR 129,33)
__ Cok City	DFL 192 (EUR 98,13)	DFL 212 (EUR 96,20)
__ Eden	DFL 180 (EUR 81,68)	DFL 210 (EUR 95,29)
__ Casa 400	DFL 135 (EUR 61,26)	DFL 185 (EUR 83,95)

Above rates are per room, per day and include breakfast, services and taxes. All rooms have private facilities. The hotels are located in the centre of Amsterdam except for the Casa 400 Hotel which is located near the Amstel train station, 10 minutes by train / subway from the city centre.

A deposit of DFL 350 (EUR 158,82) per room is required and has to be remitted in advance. Upon receipt of this amount, the hotel reservation will be confirmed and a hotel voucher of that amount, less DFL 27,50 (EUR 12,48) reservation charges will be sent to you. The value of the voucher will be deducted from your final hotel bill. No rooms can be confirmed until your hotel deposit has been received. If cancellations are received in writing before May 15, 1999, refunds will be made less DFL 50 (EUR 22,69) administration costs.

Please note that it can take a few weeks before you will receive a confirmation of your hotel reservation

I will pay the deposit of DFL 350

by sending a cheque to Carlson Wagonlit Travel* Personal cheques cannot be accepted.
please charge my credit card

(Master/Eurocard, Visa, American Express, Access, Diners)

credit card number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

expiry date

exact name on card

* Please state "Visual" and the full name of the participant on the bank transfer or cheque!

Signature

Date

Please return to:

Carlson Wagonlit Travel
Dam 19
1012 JS Amsterdam
The Netherlands
fax: +31 20 623 5107
tel: +31 20 624 1361
e-mail: agm@keytours.nl