American Express Travel Service for IAEA



American Express Travel Service International Conference on

VIC - Wagramerstrasse 5 Knowledge Management in

A-1400 Vienna, Austria Nuclear Facilities

Tel: +43 1 2600 23041 18 - 21 June 2007, Vienna, Austria, (I1-CN-153)

Fax: +43 1 2600 23050

E-mail: Silvia.D.Kalcher@ oder Regina.J.Korherr@

HOTEL RESERVATION FORM

In order to request that a hotel reservation be made on your behalf, kindly fax or mail this completed form to the above address. Please complete in block letters and return to us latest May 16, 2007.

LAST NAME_________________________________FIRST NAME______________________

STREET ADDRESS _____________________________________________________________

______________________________________________COUNTRY________________________

TELEPHONE___________________FAX____________________E-MAIL_________________

Please indicate the name of a preferred hotel from the enclosed hotel list and give 2 alternatives.

BLOCK RESERVATIONS HAVE BEEN MADE FOR THE PERIOD

June 17 – 22 , 2007

|NAME OF PREFERRED HOTEL |SINGLE |DOUBLE |REMARKS |

| | | | |

| | | | |

| | | | |

ARRIVAL DATE & TIME______________________ DEPARTURE DATE___________________

Guarantee/Deposit:

• By credit card (payment to be settled at the hotel):

( AMERICAN EXPRESS ( VISA ( DINERS CLUB ( MASTER/EUROCARD

Credit Card Number:________________________________Expiration Date:__________________

In the absence of a credit card, you need to contact us for special arrangement.

Please note that no reservation can be made without valid credit card information and that the full payment must be settled directly with the hotel/apartment.

The confirmation of your hotel/apartment reservation will be sent to you by mail or fax. Should you need to cancel this reservation, please inform us latest two weeks before arrival, otherwise a one-night fee will be charged.

Date:______________________________ Signature:___________________________________

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