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Picture Coding Symposium

Saint Malo - France, April 23 -- 25, 2003

 

 

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Accomodation form - pdf format

To be printed and returned to Conference Center: before March 1st, 2003
PALAIS DU GRAND LARGE - BP 109 - 35407 SAINT MALO CEDEX - France
Fax : +33 2.99.20.60.30 - E-mail : congres@pgl-congres.com


ATTENTION : IN ORDER TO PROCESS YOUR REGISTRATION AND HOTEL RESERVATION PLEASE FILL IN CAREFULLY THIS FORM IN CAPITAL LETTERS, ONE FORM PER PARTICIPANT AND SEND IT WITH YOUR PAYMENT FOR DEPOSIT. ANY FORM NOT DULY COMPLETED CANNOT BE PROCESSED AND WILL BE RETURNED TO THE SENDER
The "Palais du Grand Large" has been assigned responsibility by the organizers for the management of the participants hotel reservations.

1 - IDENTITY: Mrs Miss Mr

Name: First Name:
Accompanying Person:

Affiliation:
Address :
Zip code: City: Country:


Phone: Fax:
E-mail: @

2 - HOTEL RESERVATION:

Check-in: Approximate time of arrival: at Saint Malo
Check-out: i.e.: nights

Transportation : Car Train Plane

(Price, in euros, per room, per night, and including breakfast, but excluding local tax)

ROOM
HOTEL 3 *
HOTEL 2 *
HOTEL 1 *

SINGLE - for 1 person - 1 large bed

between Euros 65-70

 between Euros 48-54 between Euros 37.3-40
DOUBLE - for 2 people - 1 large bed between Euros 80-90 between Euros 60-65 between Euros 46.6-47
TWIN - for 2 people - 2 twin beds between Euros 80-90 between Euros 60-65 between Euros 46.6-47
Deposit per room
Euros 60
Euros 50
Euros 30

Name of the roommate ( in case of twin room):

3 - PAYMENT: All cash payments will be refused

By bank cheque payable in EUROS drawn on a French bank, written out to PCS'03 / PGL,
By credit card (Visa, Eurocard or MasterCard only)

Nº : /__ __ __ __/__ __ __ __ /__ __ __ __ /__ __ __ __ / Expiration date : __ __ /__ __

Signature:

IMPORTANT : All rooms will be reserved on a first come first served basis. Beyond March 1st, the Accommodation Bureau is allowed to change your demand depending on available rooms left. A confirmation letter will be sent to the above mentioned address, including location of your hotel. After March 22nd, there is no refund of deposit. Please pay the balance directly to the hotel before your departure.

Date and Signature :