ACCOMMODATION FORM 
Please fill in and return as RTF, DOC(X) or PDF file to the VVV-100 Secretary (email to vvv100@kinetics.nsc.ru)	

Please, fill in the required information and mark the appropriate yellow fields with “X”.

Reserve accommodation in:

	 “Gold Valley” Hotel	
	 “Park Wood” Hotel	
	Other (Please specify in accompanying e-mail)	

for:

	Participant				
	Accompanying person				
	Family name	First name	Middle name 
(if applicable)	

	 Single room	
	 Double room	

Date of arrival:	 	
Date of departure:	 	

If you request double room accommodation and have a certain preference for your room-mate, please indicate them below:

I would like to share the room with:		 Participant		
		(please indicate the name)	
		 Accompanying person