ANTIPROHIBITIONIST DAYS

Brussels-Luxembourg, 10-11 and 12 December 1997

* I will participate in two days of meeting YES NO

* I will participate in the manifestation YES NO

of 12 December in Luxembourg

* I request you to reserve for me

- a room in a hotel YES NO

- a place in a youth hostel YES NO

* for the nights of:

- Wednesday evening YES NO

- Thursday evening YES NO

- Friday evening YES NO

* I will come on ... December around ... o'clock

* I will leave on ... December around ... o'clock

Please send back to the following fax fax numbers: +32-2-284.91.97 - 284.91.98 - 230.36.70 or via e-mail to Pr.bruxelles@agora.stm.it

Tel. +32-2-284.71.98