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Yamagata International Documentary Film Festival 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:

	[ ] DocYama Go Go!! Package Deal	Hotel:
	[ ] Hotel only Package	Hotel:
	Type: [ ] Single / [ ] Twin	Breakfast: [ ] Yes / [ ] No
	* If you prefer to share a Twin room with someone, please write his/her name.

Dates (Please circle you wish to stayin the hotel)

Oct. 2	Oct. 3	Oct. 4	Oct. 5	Oct. 6	Oct. 7	Oct. 8	Oct. 9

Credit Info (Please check one) [ ] VISA / [ ] American Express [ ] Master Card / [ ] Other ( )

Name of the card holder	Card number				Expiration (date/year)
					/

Signature: Deadline: Saturday, Sep. 15 Inquiries: MIYAKE Yukiko, YAMAZAKI Takahiro, TAKEKAWA Akemi TOKYU TOURIST for YIDFF 2001 Hotel Reservations 1-11-22 Kasumi-cho, Yamagata City 990-0039, JAPAN phone: +81-23-641-4141 fax: +81-23-641-1019