Документ взят из кэша поисковой машины. Адрес оригинального документа : http://acat02.sinp.msu.ru/form/hotel_form.doc Дата изменения: Mon Oct 1 20:01:36 2012 Дата индексирования: Mon Oct 1 20:01:36 2012 Кодировка:

VIII International Workshop on Advanced Computing and Analysis Techniques
in Physics Research (24-28 June, 2002; Moscow, Russia)




1. REGISTRATION INFORMATION

|Family name |First name ____________________ Sex |
|________________________________ |M/F _____ |
|Country |City |
|____________________________________ |______________________________________|
| |_ |
|Phone (icl. codes) |Fax |
|____________________________ |______________________________________|
| |__ |
|E-mail |
|address______________________________________________________________________|
|_______ |
|Passport |Date of |Date of |
|No._____________________ |issue_______________ |Expiration___________ |
|Date of birth |Citizenship:__________________________|
|________________________________ |_______ |
|Location of the Russian Consulate to which you will apply for |
|visa___________________________________ |
|Arrival date/flight number |Departure date/flight number |
|____________________ |__________________ |


This information is required for your hotel reservation, visa support and
transfer arrangements

2. HOTEL ACCOMMODATION
Please select the hotel and type of room you prefer to book:
| |Single | |Double | |
|Hotel | | | |Breakfast |
| |Price per |Mark for| |Price per |Mark for | |
| |room per |the | |room per |the | |
| |night, USD |selectio| |night, USD |selection | |
| | |n | | | | |
|SPUTNIK |28 | | |38 | |included |
|MIR |50 | | |70 | |10 |
|UKRAINA |60 | | |70 | |included |
|ARBAT |80 | | |95 | |included |
| |85* | | |100* | | |
|MOSKVA |53 | | |89 | |included |
| |74* | | |114* | | |
|Another hotel | | | | |
|of your choice | | | | |


* - renovated room
All rooms are subject to availability and written confirmation. Sales Tax
is 5%. All prices include VAT.
3. METHOD OF PAYMENT
3.1. BANK TRANSFER
"ACADEMSERVICE DMC", account of Commercial Bank "LOKO-BANK" ( Moscow,
Russia, Kosmodamianskaya emb., 4) Acc. ? 574-0-740438-41 in ABN AMRO Bank ,
New York, USA, 335 Madisson Avenue, N.Y. 10017 SWIFT: ABNAUS33 Account ?
40702840200000894020
3.2. CREDIT CARD
Please debit my VISA / MASTERCARD / EUROCARD / DINERS CLUB / JCB (delete
where applicable)

Number | | | | | | | | | | | | | | | | | | |
Expiry date _______________________________

Name and normal billing address of card holder
__________________________________________________
____________________________________________________________________________
_____________

Signed ___________________________ Date ____________________ Total
amount USD _____________

49, Arkhitektora Vlasova st., Moscow, 117393, Russia Tel.: +7(095) 120
9005, +7(095) 120 9006
E-mail: info@acase.ru Internet: http://www.acase.ru Fax: +7(095) 913
3113, +7(095) 755 8858
-----------------------

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Please complete this form in block letters and return it to


Academservice DMC by fax: +7 (095) 913 3113

indicating the method of payment