Yamagata International Documentary Film Festival 2013 Hotel Reservation Form Please print out this Reservation form, and send it by fax or post.

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	Name:		Sex:
			Age:
	Address:		Phone:
			Fax:
	Company:		Phone:
			Fax:

	Hotel Name:
	Room Type: Single / Twin	Breakfast: Yes / No

Dates (Please circle the nights you wish to stay.)

Oct. 9

Oct. 10

Oct. 11

Oct. 12

Oct. 13

Oct. 14

Oct. 15

Oct. 16

Oct. 17

Accepted cards Visa, American Express, Master Card, JCB, Diners

Deadline: Thursday, Sep. 26 Inquiries: East Japan Railway Campany VIEW PLAZA YAMAGATA for YIDFF 2013 Hotel Reservations 1-1-1 Kasumi-cho, Yamagata City 990-0039 JAPAN fax: +81-23-641-4359