"Second Conference on the Exact Renormalization Group"
Hotel Reservation Form
HOTEL _________________________________
Dear Sir/Madam,
We would like to reserve a room as follows:
Expected day and hour of arrival:
Day:_________________________
Hour:_______________
Expected day and hour of departure: Day:_________________________
Hour:_______________
Single Room [ ]
Double Room [ ]
Mr.[ ] Ms.[ ] Last Name:___________________________First Name:_________________
Sharing room with:__________________________________________________________
Institution address:__________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Tel:______________________________Fax:______________________Email:__________
Signature:_________________________________________Date:___________________