COMPASS Collaboration Meeting 1 - 3 October, 2003 Lisbon, Portugal --------------------------------------------------------------------- RESERVATION FORM - HOTEL ALIF --------------------------------------------------------------------- FAMILY NAME: _____________________________________________________ FIRST NAME: _____________________________________________________ INSTITUTION: _____________________________________________________ ADDRESS: _____________________________________________________ _____________________________________________________ PHONE: _____________________________________________________ FACSIMILE: _____________________________________________________ (TYPE AN "X" IN THE SPACES CORRESPONDING TO YOUR CHOICES) Please book me a ___ Single Room (60 Euro/day) ___ Double Room (70 Euro/day) (breakfast included) Date of arrival: 2003/____/___ Date of departure: 2003/____/___ ___Visa ___Eurocard ___Mastercard ___American Express Credit card number: _____________________________________ Credit card name: _____________________________________ Expiry date: ____/___ (e.g. 11/03) Signature: _____________________________________________ --------------------------------------------------------------------- PRINT and send by FAX to HOTEL ALIF Campo Pequeno, 51 1000-081 Lisboa, Portugal Fax: +351 217 954 116 Tel: +351 217 826 210 ---------------------------------------------------------------------