PAN ASIAN HOLIDAYS

I would like to book the following accommodation (booking is obligatory):

Single room:	Number of rooms:
Double room:	Number of rooms:
	Price per room for one night incl. breakfast - tips - tax.
If the requested price group is not available, I would like to book within the following price group/category*

Special requests :
Mr* Mrs*
*Last name:**
*First Name:**
Institution:
Department:
*Street / Number:**
*Postcode / City:*
*Country:**
*Phone:**
Fax:
*Email:**
*Date of arrival:**	Time of arrival*: o'clock
*Date of departure:**	Total number of nights*:
Travelling to Aachen by:
I participate in the following event/ congress:

* = The mandatory fields must be filled in