Note: This form is provided on WWW for your convenience. Return this form and your payment by regular mail. We do not recommend sending credit card information via the Internet.
Name: ___________________________ Affiliation: ___________________________ Address: _______________________________________________________________________________ ________________________________________________________________________________________ Telephone: ___________________________ Fax: ___________________________ e-mail: ___________________________
Please reserve the following accommodations:
__ $69 Single Occupancy
__ $84 Double Occupancy
Arrival Date: _____________
Departure Date: _____________
__ Smoking / __ Non-smoking
__ Deposit check enclosed in the amount of: $ _______
__ Credit Card Guarantee:
Credit card number: _______________________________
Credit card expiration date: _________
Signature: _____________________________
Send by August 31, 1995 to:
Reservations, Group Number G3955 The Inn and Conference Center University of Maryland University College College Park, MD 20742, USA Tel.: (301) 985-7310, Fax: (301) 985-7445
Rates are per room per night. All rates are subject to a 5% occupancy tax. All reservations must be accompanied by a deposit of one night's room rate plus tax, or a credit card guarantee. Guaranteed reservations will be held until 6:00 a.m. the following day. Reservations not canceled prior to 6:00 p.m. on the arrival day will be charged one night's room rate plus tax.