ESSLLI 2003 / FGVienna Hotel Reservation Form

Mail or fax this form to
Botros Incoming
Paulanergasse 4
1040 Wien
Austria
Fax: +43-(0)1-5038811-22

Bookings are done first come first serve - deadline for bookings is 15. June.

Please note that Botros Incoming is a fully licensed travel agency.


Title
First Name
Family Name
Organization/Affiliation
Postal Address
Country
Telephone  (country code - area code - number)
Fax  (country code - area code - number)
E-mail Address
I wish to be further informed by email.

Preferred Hotels
First choice:
Second choice:
Third choice:

Duration of stay
check in date:   2003
check out date:   2003
number of single rooms:
number of double rooms:

Method of payment (please check one)
Credit Card Bank Transfer
If you wish to use Credit Card method, please do NOT submit this information electronically (by email).
VISA MasterCard
Card No:
Expiry Date:
Name on Card:
Signature: ____________________________

Further comments

Mail or fax this form to
Botros Incoming
Paulanergasse 4
1040 Wien
Austria
Fax: +43-(0)1-5038811-22