SECOND WORKSHOP ON BINARIES IN THE SOLAR SYSTEM WASOWO PALACE, NEAR POZNAN, POLAND 2010 July 13-15 *********** HOTEL RESERVATION FORM ******************************* Please return by text email to all of: wasowo@wasowo.pl agn@amu.edu.pl binaries2@boulder.swri.edu aostaszewska@wasowo.pl Participant NAME ______________________________________________ INSTITUITION ______________________________________ MAILING ADDRESS: ___________________________________________________ ___________________________________________________ ___________________________________________________ COUNTRY ___________________________________________ TELEPHONE ________________________________________ FAX ______________________________________________ EMAIL ADDRESS __________________________________________ Names of accompanying persons: _____________________________ _________________________________ _____________________________ _________________________________ For more than 2 persons, there will be an extra charge for additional beds added to the room. Contact Arleta for details. ------------------------------------------------------------------- ROOM RESERVATION REQUEST (Indicate One): ___ single room 4 star, higher standard 360 PLN (approx 103 EUR) per night ___ double room 4 star, higher standard 260 PLN (approx 74 EUR) per person, per night ___ single room 3 star, normal standard 290 PLN (approx 83 EUR) per night ___ double room 3 star, normal standard 235 PLN (67 EUR) per person, per night FACILITY preference (name of building):_______________________________ Room reservation will be confirmed after payment for one night via one of the methods on the Workshop web page. Date of arrival: Date of departure: ____________________________________________________________________