CALOR99 - VIII International Conference on Calorimetry in High Energy Physics June 13-19, 1999 Lisbon, Portugal ----------------------------------------------------------------------------- RESERVATION FORM - APARTHOTEL ORION EDEN ----------------------------------------------------------------------------- FAMILY NAME: _____________________________________________________ FIRST NAME: _____________________________________________________ INSTITUTION: ___________________________________________________ ADDRESS: ___________________________________________________ ___________________________________________________ PHONE: ___________________________________________________ FAX: ___________________________________________________ (TYPE AN "X" IN THE SPACES CORRESPONDING TO YOUR CHOICES) Please book me a ___ T0 ___ T1 (12300 PTE/day) (15000 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. The guarantee deposit corresponds to 30% of my reservation. Reservation can be cancelled without any penalty until May 12th. 1 night will be charged for cancellations after May 12th or in case of no show. ___Visa ___Eurocard ___Mastercard ___American Express Credit card number: _____________________________________ Credit card name: _____________________________________ Expiry date (e.g. 11/99): ____/____ Signature: _____________________________________________ PRINT and send by fax to ORION EDEN LISBOA Pc. Restauradores, 24 1250 Lisboa FAX: +351-1-3216666 PHONE: +351-1-3216600