Please return this form no later than December 22, 1997.

 

Hotel Reservation Form

42nd MPEG Meeting

February 2-6, 1998

San Jose, California

 

 

Last Name:________________________________

First Name:_______________________________

Organization:_____________________________

Address:__________________________________

Country: __________________________________Mail Code:_______

Telephone:________________________________

Fax:______________________________________

(please include country code and city code)

Single or double room_________

Smoking _______Non-Smoking_________

Special Needs _____________

Arrival Date:_______________

Departure Date:_____________

Conference Rates: [ ] $139 Single [ ] $149 Double

(plus current city occupancy tax)

[ ] VISA [ ] Master Card [ ] AMEX [ ] Diners Club

Credit Card #_______________________

Exp. Date___________________________

Cardholder Name_____________________

 

Reservations will only be held until 4:00pm, unless Guaranteed for Late Arrival to a major credit card. Credit Cards will only be charged upon check-out from the hotel or if you fail to cancel your reservation within 72 hours prior to arrival.

To reserve your room at the Double Tree Hotel, please complete this form and fax, with credit card details, to:

 

Preferred, Inc.

Fax +1(612)673-9799

 

Reservations must be made by December 22, 1997