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\def\koutaki{$\Box$}
\def\koutara{{ \Huge \raise-0.5ex\hbox{$\Box$}}}

\def\degr{\hbox{$^\circ$}}

\begin{document}
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\begin{center}
{\bf Joint European and National Astronomical Meeting for 1997\\
{\Large \bf JENAM - 97}\\
2 -- 5 July 1997}

{\Large \bf H O T E L \ \ R E S E R V A T I O N \ \ F O R M
\footnote{Please complete the {\sc Payment Form} as well.}}
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\begin{tabular}{p{11cm}}
Submit this form by normal post or fax to the {\bf Contact address}
of the Local Organising Committee, mentioned in \S 3.\\[0.1cm]
\multicolumn{1}{c}{\bf Deadline for guaranteed reservation and minimum cancellation fees:}\\
\multicolumn{1}{c}{\bf March 15, 1997}\\[0.1cm]
\multicolumn{1}{c}{Direct questions to: {\bf elaset@astro.auth.gr}}
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{\normalsize
$\bullet$ Reservations may be submitted by {\it Letter}, by {\it E-mail}
  or by {\it FAX}\footnote{{\small The hotel requires a guarantee for bookings.
Please remit a deposit, equivalent to one night's stay, at the rates 
mentioned above, with your registration. The deposit will be credited to
your bill when checking out. If you have indicated more than one
choice, please fulfil the deposit requirements of your first choice.}}. 
Telephone requests will not be accepted. \\
$\bullet$ The LOC will confirm your reservation within two weeks after your
  application has been received.\\

Family Name:\ \hrulefill\ First name:\ \hrulefill\ Initials:\ \hrulefill\\
E-mail: \hrulefill\\
Phone number: \hrulefill\ Fax number: \hrulefill\\
Postal address:\ \hrulefill\\
\phantom{Postal address:} \hrulefill\\
\phantom{Postal address:} City: \hrulefill\ Zip Code: \hrulefill\ Country: \hrulefill \\

Choose the type of room\footnote{ 
If more rooms are needed, please duplicate this form.}
 that suits you best by checking one box:\\
{\sc Single room}\footnote{Limited number of rooms, please indicate a second 
    choice, by checking a second box.}\ \koutaki\ \hfill
    \hfill {\sc Double room}\ \koutaki \hfill 
{\sc Double room} (single occupancy)\ \koutaki\\
Non-Smoking\ \koutaki \ \ \ Special Needs:\ \hrulefill\\

For {\underline{all}} types of room, print names of occupants of each room:

{\underline{Room 1:} \hspace*{0.5cm} 
1.\ \hrulefill\  
2.\ \hrulefill\ 
3.\ \hrulefill\ \\[0.3cm]
{\underline{Room 2:} \hspace*{0.5cm} 
1.\ \hrulefill\  
2.\ \hrulefill\ 
3.\ \hrulefill\ 

Should the LOC choose your room mates? (yes/no) ....
Sex of room mates:\ M\ \koutaki \hfill F\ \koutaki \hfill Any\ \koutaki

Arrival Date \& Time:\ \hrulefill\ \hrulefill\ Departure Date:\ \hrulefill\\[0.1cm] 
Number of persons\ \koutara\ \hspace*{2cm} Number of nights\ \koutara \\

\hspace*{9.7cm} Signature: . .. . . . . . . . . . . . . . . \\

\end{document}

