APPLICATION FORM FOR HOTEL RESERVATION
This form schould be returned to hotel no later than March 26, 1999
To
AMBIENT Hotel COLINA
Herrn Joachim Barthel
Marie-Luise-Fleisser-Bogen 14
81737 München
Tel: +49 / 89 / 627 01-0
Fax: +49 / 89 / 627 01-160

RE: EUROMEDIA 99, APRIL 25-28, 1999, MUNICH, GERMANY
 

Please book

........ single room at a special rate of    DM 138,-- (per night, breakfast included)

........ double room at a special rate of    DM 180,-- (per night, breakfast included)

Check-in date:    April ______ 1999        Check-out date: _______ 1999 for ______ night(s)
 

Late arrival (after 6.00 p.m.)     yes / no
 

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Signature
 

Full name and address of sender:
 

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Last Name                                                          First Name
 

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Mailing Address

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Telephone                                                                 Telefax