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PSIP'99
FIRST INTERNATIONAL SYMPOSIUM
PHYSICS in SIGNAL and IMAGE PROCESSING

18-19 January 1999, ENST (Paris), France

Optimizing signal and image processing by adequate modelling sensors and of t heir environments


HOTEL RESERVATION FORM

Please complete and return before 30 December, 1998 to :

WAGONLIT EVENEMENTS - Département " Congrès-Conventions "

16, rue Ballu - 75009 PARIS - FRANCE

Tel : +33 1 55 07 26 10 Fax : +33 1 55 07 26 15

 

Family Name / First name

 

Company / Organisation

 

Address

 

Person in charge of payment

 

Telephone

 

Fax

 

Please reserve :

  • twin bedroom(s) shared by 2 persons
  • single room(s)
    in a hotel of _ __ __ __ __ __ _ stars
    from _ _ / _ _ / 99 to _ _ / _ _ / 99 a.m. for _ _ night(s)
Average rates per room and per night - Room basis only, taxes and services included

 

(Please tick category)

Hotel category

Price

Compulsory hotel deposit per room

 

2 **

405 / 460 FF

520 FF

 

3 ***

480 / 600 FF

660 FF

The hotel deposit will be transmitted to the reserved hotel minus FF60 for reservation fees and deducted from your final bill which you must settle before leaving.

Hotel deposit FF ................ x .................. = ...................... FF

Please find enclosed :

  • Cheque payable to WAGONLIT S.E.A.V.T.
  • Copy of my bank transfer sent to the account :

    00010008285/58 B.N.P. PARIS MAINE MONTPARNASSE
    Code banque 30004 Code guichet 00274
    WAGONLIT S.E.A.V.T. - Département CONGRES-CONVENTIONS

The bank charges must be added to the above amount. Any difference will be settled locally.

I hereby authorize you to charge my VISA INTERNATIONAL / EUROCARD / MASTERCARD
NoExpiry date _ _ / _ _

VERY IMPORTANT
No reservation will be made if this form is not accompanied by the corresponding payment.

CANCELLATION
Received before 30/12/98 : refund minus FF60 cancellation fees. After 30/12/98 : no refund.

Date :Signature :


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