===================================================================
                ACCOMMODATION FORM FOR LEARNING'98

		To be faxed to:

                Learning'98 Secretariat, Fax: +341 624 9430
===================================================================

Full Name:   ______________________________________________________

Affiliation: ______________________________________________________

Full Address:______________________________________________________

             ______________________________________________________

E-mail:      ______________ Ph.:  _____________ Fax:  _____________

------
HOTELS
------

   Please, tick your choice

   __ Student Residence

   __ Hotel Carlos III

   __ Hotel Sur

   __ Hotel Nacional

   Type of room: __ Single      __ Double

   Arrival date: _______________ Departure date: _________________

----------------------
PAYMENT BY CREDIT CARD
----------------------

      __Master Card     __VISA          __AMEX

      Card Number: _______________________  Exp. date:____________

      Cardholder's name: _________________________________________


      Cardholder's signature: ____________________________________
                                          (mandatory)
      Do you need an invoice? __YES __NO