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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:
	Company:		Phone:
			Fax:

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

Dates (please circie the nights you wish stay)

Oct. 7

Oct. 8

Oct. 9

Oct. 10

Oct. 11

Oct. 12

Oct. 13

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

Deadline: Tuesday. Sep. 20 Inquiries: East Japan Railway Campany VIEW PLAZA YAMAGATA for YIDFF 2005 Hotel Reservations 1-1-1 Kasumi-cho,Yamagata-shi, Yamagata 990-0039, JAPAN fax: +81-23-641-4359