The 2nd IMACS Conference on APPLICATIONS OF COMPUTER ALGEBRA

July 17 - 20, 1996
Castle Hagenberg, Austria

Accomodation Form

Personal Data:

Participant: O Prof. O Dr. O Mrs. O Mr.

Family Name:

First Name:

Affiliation:

Address:

Country:

e-mail:

Phone:

Fax:

Accompanying Person(s):

Family Name:

First Name:

I reserve as follows:

from (arrival)

to (departure)

O	single room ATS 890,- = about US $ 90,- per day/person
O	double room ATS 550,- = about US $ 55,- per day/person

The breakfast-buffet, the relaxing Health Club, the airport shuttle-service from the airport Linz-Hoersching as well as the shuttle-service to the conference-center are included in the accommodation-fee.

There is a small contingent of student rooms available. These accommodations are secluded and scattered over the region. If you want to reserve this room-category, please contact the local organizer.

I arrive at . . . . . . . . . . a.m./p.m. by

O	car
O	train
O	plane, flight number:
O	plane, flight number:
O	I need a shuttle-service from the airport Linz-Hoersching to the hotel on . . . . . . . at . . . . . a.m./p.m.
O	I need a shuttle service from the hotel to the airport Linz-Hoersching on . . . . . . . at . . . . . a.m./p.m.

Date

Signature