RenPar'11
11th French Meeting
on Architecture & Systems Parallelism
SympA'5
5th Symposium on New Computer Architecture
CFSE'1
1st French Conference on Operating Systems

Accomodation form for residence for students

IDENTITY Mr Mrs Miss (Check with an X)

Name :		First name :
Organization :
Address :

Postcode :	City :		Country :
Telephone :			Fax :
Email :

STUDENT RESIDENCE RESERVATION

I wish to make a reservation in a residence for students :

85 FF per night (breakfast in addition)

For the night of :		For :
8 june 1999		1 person
9 june 1999
10 june 1999

Total :

Date of arrival : Expected hour of arrival to the residence :

Date of departure :

Transport : CAR TRAIN AIRPLANE

PAYMENT

Enclose this reservation with a cheque for the sum of :
85 FF per night make out in French Francs to "INSA".

If this reservation is not confirmed for the expected date, and except for a cancelling 48 hours before,
deposit will be lose and reservation cancelling will be definitive.

Please find enclosed our postal or bank cheque
on :

Print this reservation form, and post it before the 17 may 1999 to (don't forget the cheque) :

Madame REGNIER
INSA
20, avenue des Buttes de Coësmes
35043 RENNES Cedex
Telephone : +33 2 99 28 65 67 - Email : Marie-Anne.Regnier@insa-rennes.fr