Dynamical Aspects of Complex Systems
from Cells to Brain
ACCOMMODATION RESERVATION FORM (B)
November29-December1,2000,Sendai International Center Sendai，Japan
Deadline : September 29, 2000

Please type or print Legibly.

Name: Mr./Ms.
　　　　　　　　　　　Last(Family) Name　　　　　 First(Given) Middle Name)
University/Company:
Div/Dept:
Mailing Address (office/home) :

City:
Zip:
Country:
E- mail:

Phone +	(	)	FAX: +	(	)
Country Code			Country Code

Accommodation Reservation

Hotel No.	First Choice:	Second Choice:	Third Choice:
Room Type	single	twin(sharing a room with:		)
Check-in Date:		Check-out Date:	Nights

Name(s) of Accompanying Person(s):

		( Male / Female)
		( Male / Female)
		( Male / Female )
Last(Family) Name	First(Given) Middle Name)

= PAYMENT =

*Accommodation charges should be paid to the hotel when checking out.
*lf you want to change or cancel the reservation, please contact TCS as soon as possible.
*If you don't arrive at the hotel by 21:00 without notice, do you agree to pay the total room charge of the reserved nights for room guarantee by credit card?
Yes (VISA MasterCard Diners)

Card Number: Expiration Date:

Name of Card Holder: Signature:

No (Your reservation is automatically cancelled, if you don't arrive at the hotel by 21:00 pm, without contact. An account for the hotel room charge of the reserved nights will be sent by mail.)

Return this form

by FAX : +81-22-262-5002
by POSTAL MAIL : Tohoku Communications Inc.(TCS)
Kotsukosha Bldg 3F, 3-6-8 Chuo, Aoba-ku, Sendai 980-0021, Japan

If you want to change or cancel the reservation, please contact TCS as soon as possible.