CALOR99 - VIII International Conference on Calorimetry in High Energy Physics

                          June 13-19, 1999
      
                          Lisbon, Portugal 

-----------------------------------------------------------------------------
                RESERVATION FORM  -  PENSAO ASTORIA
-----------------------------------------------------------------------------

     FAMILY NAME: _____________________________________________________

     FIRST  NAME: _____________________________________________________

     INSTITUTION:   ___________________________________________________

     ADDRESS:       ___________________________________________________

                    ___________________________________________________

     PHONE:         ___________________________________________________

     FAX:           ___________________________________________________



   (TYPE AN  "X"   IN THE SPACES CORRESPONDING TO YOUR CHOICES)


         Please book me a  ___ Single Room      ___ Double Room
                              (6500 PTE/day)     (8000 PTE/day)
           
         Date of arrival: ______________     Date of departure: ______________


     Please note that your reservation can be guaranteed only if a credit
     card number is indicated. 


        Use my CREDIT CARD to guarantee my reservation.
        Reservation can be cancelled without any penalty until one week
        before date of arrival. One night will be charged for later 
        cancellations.


             ___Visa   ___Eurocard  ___Mastercard  ___American Express 

              Credit card number: _____________________________________

              Credit card name:   _____________________________________

              Expiry date (e.g. 11/99):  ____/____

              Signature:  _____________________________________________

          

 PRINT and send by FAX to          PENSAO ASTORIA
                                   R. Braancamp, 10 r/c
                                   1250 Lisboa
	  FAX: +351-1-3860491   PHONE:  +351-1-3861317