Last Name: ____________________, First Name: ________________________
Mailing address (for mailing hotel confirmation, etc.)
City__________________, State or Province_____________________________
Postal zip code: ______________ ,Country______________________________
Telephone: ___________________, Fax:________________________________
E-mail address: __________________________
All room rates are in ATS (Austrian Schilling) per room per night, including breakfast, service and taxes. All hotels are located within walking distance or short subway ride to the conference site.
Hotel Choices (must enter three choices, using hotel code)
First Choice: _____, Second Choice: ____, Third Choice: ____.
(check one) double_______, or single ______.
Date of arrival__________________, Date of departure____________________
Deposit: The highest room rate among all your choices of hotels ATS ________
Sight-Seeing Tours: T1______, T2______, T3______, T4________, T5 ______
Total for tours: ATS___________________
Check here if you want a copy of cultural program (available on July 15, 1998) ____
Payment: The total of hotel deposit and tours ATS__________________
Payment can be made by Euro-cheque (Place of issue: Vienna, in ATS) or by bank transfer "free of charge" to the recipient to the Austropa Interconvention's account No: 0035/14775/00 at the Creditanstalt Bankverein in Vienna, bank code 11000. Include the participant's name and "COMPSAC 98" as reference.
The amount of ATS _______________________ is paid (check one)
____Check, _____Bank transfer on _____________________________,
or use my credit card (check one) ____Visa, ____MasterCard, ____Eurocard, ____Amexco, ____Diners as guarantee for hotel and tour reservations.
Card number ___________________________________________________
Name on the card: __________________________________________________
Austropa Interconvention acts as an agent and cannot be held responsible for any loss, injurty or damage to any person or property, whatever the cause may be. The liability of persons and entgerpricses providing means of transportation or other services, however, remains unaffected. The customer takes part in all tours and trips at his/her own risk. Only written arrangements are binding. Sole venue is Vienna. Your signature is needed to authorize Autrotropa Interconvention to use the data given in this form for a computerized handling of COMPSAC 98.