Download 3nd Hellenic Conference on Artificial Intelligence (SETN04)

University of the Aegean
EETN
Hellenic Society of Artificial
Intelligence
Department of Information and
Communication Systems Engineering
3rd Hellenic Conference on
Artificial Intelligence
http://www.icsd.aegean.gr/setn04/
5-8 May 2004
Doryssa Bay Hotel
http://www.doryssa-bay.gr/
SAMOS
Hotel Reservation Form
A. Personal Information
First Name:
Title:
Mr.
Family Name:
Miss.
Dr.
Prof.
Affiliation:
Mailing address:
City:
Postal Code:
Phone:
Fax:
Country:
E-mail:
Name of accompanying person:
B. Room Reservation:
(with cost 70 € per person)
(with cost 48 € per person)
* Prices include tax.
Arrival Date:
../05/2004
Departure Date:
../05/2004
Number of nights:
Total cost in Euro:
€
To guarantee your reservation, please complete the form with your credit card number.
Cardholders Name:
Signature of card holder: ________________________________
Card Number:
Expiry Date:
Date: __________________________
Signature: ____________________________________________
Please complete this form using MSWord, print it, sign it and fax it as soon as possible to +30 22730 82009, but
not later than 15 of March 2004. To confirm the correct transmission of the fax call SETN04 secretariat at:
+30 22730 82000. For any other information about the hotel call Doryssa Hotel at: +30 2 2730 88366.