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

ACCOMMODATION FORM

Please print, fill and send the form by Fax to +972-3-6967990
or you can save the text file, fill it electronically and send it by e-mail to


Participant Information
=======================

-----------------------------+-----------------------------+-------------------
Family Name:                 | First Name:                 |Title:
                             |                             |
-----------------------------+-----------------------------+-------------------
Company:

-------------------------------------------------------------------------------
Mailing Address:
                         
----------------------------------------------------------+--------------------
City & State:                  | Country:                 |Zip Code: 
                               |                          |  
---------------------------------------------------+------+--------------------
Phone:                   |Fax:                     |E-Mail:
                         |                         |
Include country and      |Include country and      |
area codes               |area codes               |
-------------------------+-------------------------+---------------------------


Accommodation Information (Dan Panorama Hotel - tel Aviv):
==========================================================

------------+-----------+----------+--------+---------+-----------+-----------+
Type of Room|Category of|Rate (US$)|  # of  |  # of   |   Total   |  Deposit  |
            |   Room(b) |per Night |  Rooms |Nights(c)|    Due    |     (d)   |
------------+-----------+----------+--------+---------+-----------+-----------+
            | Standard  | $139.00  |        |         |           |           |
Single      +-----------+----------+--------+---------+-----------+-----------+
            |  Deluxe   | $156.00  |        |         |           |           |
Occupancy   +-----------+----------+--------+---------+-----------+-----------+
            | Executive | $166.00  |        |         |           |           |
------------+-----------+----------+--------+---------+-----------+-----------+
            | Standard  | $157.50  |        |         |           |           |
Double      +-----------+----------+--------+---------+-----------+-----------+
            |  Deluxe   | $174.50  |        |         |           |           |
Occupancy   +-----------+----------+--------+---------+-----------+-----------+
   (a)      | Executive | $184.50  |        |         |           |           |
------------+-----------+----------+--------+---------+-----------+-----------+

    +--+               +--+
(a) |  | Double bed    |  |  Two twin beds;  I'll share my room with:
    +--+               +--+
                       +--+
(b) Special requests:  |  | Non Smoking;  Other (please specify):
                       +--+ (upon avail.)

(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|   |   AMEX    |
------------+---+---+---+---+---+---+---+---+---+---+---+---+---+---+---+---+
Credit Card |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
  Number    |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
------------+---+---+---+---+---+---+---+---+---+---+---+---+---+---+---+---+
Expiration  |                   |  Name as  |                               |
   Date     |                   |  on Card  |                               |
------------+-------------------+-----------+-------------------------------+

 

Important information:
 

 

Cancellation and refund policy:
 


[
Home | Site Map | Executive Committee | Call for Papers | Local Information | Technical Program | Tutorials Program ]
[ Conference Registration | Hotel Reservation | Author's Kit | Keynote Speaker | Israel Links | Tours in Israel | Corporate Partners ]

Last updated 9/16/99