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12\18 France - 6th Workshop on Catastophic Disruption 
                  in the Solar System
Part 2 of 2

ROOM RESERVATION: FORM TO SEND BY FAX TO THE HOTEL

SEMINAR CNRS 8th - 12 June 2003
CROISETTE BEACH HOTEL
CANNES - FRANCE

CREDIT CARD GUARANTEE

Fill it and return it with the booking form
 by fax at 00 33 4 93 68 35 38

Attention : Agnes HENNET - Sales Executive

This authorisation form is requested by the CROISETTE BEACH HOTEL to
validate your booking.

I herewith ( Holder of the card )
______________________________________________________ Authorise the
CROISETTE BEACH HOTEL to debit on March 18th 2003 on the following 
credit card Type : Visa - MasterCard - American Express - Dinners ( 
Delete as appropriate )

Number of the card:
________________________________________________________________

Expiry Date of the card: __________________________________________

The amount of:

____ x 134 Euros / single room, per person, per day ( seminar price
including buffet breakfast and local city tax )

____ x 74 Euros / double room, per person, per day ( seminar price 
including buffet breakfast and local city tax )

For the rent of one single - double - twin - bedded room ( Delete as
appropriate ) from June 8th until 12th 2003 ( 4 nights ) .

If you want to share a double room with another participant (and not 
an accompanying person), please indicate his/her name :

The CROISETTE BEACH HOTEL holds these special prices for the PRE AND 
POST SEMINAR NIGHTS. Please, indicate if you would like to take 
advantage of this offer :

___ x 134 Euros /single room, per person, per day, buffet breakfast 
and city tax included - Please precise the dates for booking: 
________________

___ x 74 Euros /double room, per person, per day, buffet breakfast and 
city tax included - Please precise the dates for booking: 
________________

***********************

I agree with the following cancellation conditions :

The debit of my credit card will be made after March 17th 2003, dead 
line to confirm my participation at this seminar.

-From March 17th until April 17th 2003 , if I cancel my booking, the
CROISETTE BEACH HOTEL is authorised to debit one night penalty. No 
penalty on pre and post seminar nights.

-From April 18th until May 8th 2003 if I cancel my booking, the 
CROISETTE BEACH HOTEL is authorised to debit 2 nights penalty. No 
penalty on pre and post seminar nights.

-From May 9th until May 24th 2003 if I cancel my booking, the 
CROISETTE BEACH HOTEL is authorised to debit 3 nights penalty. No 
penalty on pre and post seminar nights.

-After May 25th 2003, if I cancel my booking or in case of no-show , 
the CROISETTE BEACH HOTEL is authorised to debit the 4 nights penalty 
and 50% of the amount for the pre and post seminar nights.

In case of cancellation for medical reasons or family decease, 
repayment of the total deposit, only with medical certificate or death 
certificate presentation.

Date:___________________________________

Signature ________________________________

DEAD LINE: MARCH 17th 2003

Any question? Contact Patrick MICHEL at: michel{at}obs-nice.fr
tel:+ 00 33 4 92 00 30 55

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APPLICATION FORM TO SEND TO michel{at}obs-nice.fr

REGISTRATION FORM
CDVI WORKSHOP, June 9-11 2003, France

1- Last Name:

2- First Name:

3- Address:

4- Email:

5- Did you make your room reservation to the Hotel? If yes, please 
indicate your date of arrival/departure?

6- Do you come with an accompanying person?

7- Do you wish to participate to the Banquet? (free for participants, 
around 50 Euros for accompanying persons; please indicate the number 
of participants and accompanying persons)

8- If you wish to make a presentation, what is the title/topic?

Thank you very much and see you soon!

send this form to michel{at}obs-nice.fr

http://www.boulder.swri.edu/~durda/cd6/meeting.html

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