Scand-LAS Symposium 2002: Registration Form

Scand-LAS Symposium 2002

Clarion Oslo Airport Hotel, Norway 18^th — 21^st April

Accommodation Form

Last name: ___________________ First name: ___________________ Mr. / Ms.

Institution / Company: _________________________________________________

Address: ___________________________________________________________

Postal Code / City / Country: ____________________________________________

Telephone: ____________________ Telefax: _____________________________

Email: ______________________________________________________________

Accommodation:

Arrival date: ___/___ Departure date: ___/___ No. of nights: ____

Single room: ____ Double room: ____ Smoking: __ Non smoking: __

In case of double room who are you going to share the room with:

Name: _____________________________________________________

Special Dietary Requirements: __________________________________

Hotel rates:

Single room per night, including breakfast: NOK 990, -

Double room per person per night including breakfast NOK 790, -

The hotel costs are to be paid to the hotel at departure.

Please send this form before 18.02.02 to: Renate Amundsen

Fjell og Fjord Konferanser AS

Nittedalsgt. 1A

N — 2001 Lillestrøm, Norway

Telefax: +47 63 80 65 11
Further Information: email: renate@fjellogfjord-konferanser.no

Telephone: +47 63 80 65 10