IEEE INFOCOM 2000: Tel-Aviv, 26th to 30th March, 2000

ACCOMMODATION FORM

Please print this page (or its PDF version), fill and send the form by Fax to +972-3-6967990


   Please complete and return this form together with the appropriate payment to:
             ESHET – Conferences, INFOCOM 2000
             Please send by Fax: +972-3-6967990
             For questions, please send e-mail to:

             ESHET snail-mail address: ESHET, 8 Nahalat Yitzhak Street, Tel-Aviv 67442, ISRAEL

Please TYPE or PRINT IN BLOCK LETTERS:

Participant information:
 
Family Name:  First Name:  Title: 
Company: 
Mailing Address: 
City & State:  Country:  Zip Code: 
Phone: 

(include country and area code)

Fax: 

(include country and area code)

E-Mail: 

Accommodation information (DAN Panorama Hotel – Tel Aviv):
 
Type of Room
Category of Room (b)
Rate (USD)

per Night

# of Rooms
# of 

Nights (c)

Total

Due

Deposit (d)
Single

Occupancy

standard
$139.00
       
deluxe
$156.00
       
executive
$166.00
       
Double

Occupancy (a)

standard
$157.50
       
deluxe
$174.50
       
executive
$184.50
       

 
 
 
(a)
  Double bed
  Two twin beds
I will share my 

accommodation with: 

(b) Special requests:
  Non-Smoking (upon availability);
Other (specify)
(c) Check-In Date:  Check-Out Date: 
(d)  Deposit: Rate of one night of the requested accommodation

 

Payment information:
 
     I issued a company check (personal checks are not accepted) in USD payable to ESHET and        I sent it by snail-mail to ESHET, 8 Nahalat Yitzhak Street, Tel-Aviv 67442, ISRAEL.
 
   I made a bank transfer in USD to ESHET's bank account:
    ESHET INCOMING, C/O BANK LEUMI
    BRANCH 654, ACCOUNT NO. 310800/94, TEL-AVIV (ISRAEL)
 
Please debit my credit card below:
Type of Card  
Visa
 
Diners
 
MasterCard
 
American Express
Credit Card Number
                               
Expiration Date
 
Name as on Card
 

 

Important information:
 

 

Cancellation and refund policy:
 


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Last updated 9/16/99