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| Hotel Reservation
Form |
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| Washington, D.C.
24-29 June 2001 |
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| Last Name |
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First Name |
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Middle Initial |
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| Company/Institution/Department |
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| Address |
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| City |
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State/Province |
Postal Code |
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Country |
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| Phone
Number |
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Fax Number |
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| Email
Address |
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| Please INDICATE PREFERENCES in the space
provided. |
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| Please note: Every effort will be made to
accommodate your preference; however, due to availability, it cannot be
guaranteed. |
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| PREFERENCE: |
HOTEL |
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| Single/ Double |
Omni Shoreham
Hotel, 2500 Calvert Street NW, Washington DC 20008 |
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| SINGLE - $179.00 / DOUBLE -
$179.00 |
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| To avoid a cancellation penalty for individual
reservations of one-night room and tax, reservations must be cancelled at
least 48 hours prior to arrival. |
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| All rooms are subject to applicable state and local taxes
(approximately 14.5%). Check-in time: 4:00pm, Check-out time: 11:00am |
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| ARRIVAL
AND DEPARTURE INFORMATION |
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| Arrival Date: _________________ Approximate Arrival Time: _______________ AM/PM (please
circle) Departure Date:
_________________ |
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| SPECIAL
REQUESTS - Requests cannot be guaranteed; however, every
effort will be made to accommodate you. |
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| o Smoking o Non-Smoking o One Bed o Two Beds o Other/Specify:
________________________ |
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| OCCUPANTS - Each person, in addition to the name mentioned above, who
will be in this room. |
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| Occupant 1:
___________________________________________________________________________________________________________ |
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| Occupant 2:
___________________________________________________________________________________________________________ |
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| Any reservation
request received after 25 May, 2001 will be subjected to a space available
basis only. |
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| In
case of emergency, contact: _____________________________________ |
Phone/fax/email:
_________________________ |
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| r Please check here if you require
special accommodations to fully participate.
Please attach detailed description of your needs. |
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| INSTRUCTIONS FOR
PAYMENT OF HOTEL RESERVATION FEES |
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| METHOD
OF PAYMENT: |
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| Please note: In order to process your hotel reservation, you
MUST include credit card information.
If you do not supply this information, we will not be able to process
your reservation with the hotel. |
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Visa o
MasterCard o
American Express o
Diners' Club |
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| Card
Number |
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Exp. Date |
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| Print
name as it appears on Credit Card |
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Authorized Signature |
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| RESERVATIONS: All reservations are being coordinated through IEEE Conference
Management Services. To reserve a
room, use the above hotel reservation form.
All reservation forms MUST BE SENT TO THE ADDRESS BELOW AND RECEIVED
NO LATER THAN 25 MAY, 2001. |
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| CHANGES
IN RESERVATIONS: All
changes/cancellations in reservations MUST be requested in writing
(fax/email) to IEEE CMS. |
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| CONFIRMATIONS:
An email or fax will be sent to you by CMS. |
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| Please Return Completed Registration Form With Payment To:
Vernon Loria, C/O IEEE Management Services, 445 Hoes Lane, P.O. Box 1331,
Piscataway, NJ 08855-1331, USA. Tel:
+1 732 562 5337 Fax: +1 732 465
6447 email: v.loria@ieee.org |
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