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Accommodation form for QUARKS-2016

Please fill in all the fields in the following form and press the Submit button.

Family name:
First name:
Tentative date of arrival:
and departure:

Preferred accommodation:

Shared twin room                       Suggested roommate:
Double room                  Accompanying person:
De lux room for single occupation (approx. 500 Euro for full period)
I do not need an accommodation in Potemkin hotel