Reservation Form for
Hampton
Inn & Suites Flagstaff
2400 S. Beulah Boulevard
Tel: +1 928-913-0900 Fax: +1 928-913-0800
Conference organized by the Informing Science
Institute
Eli Cohen and Elizabeth Boyd, Organizers@InSITE.nu
NAME of Delegate:_____________________________________________________________
ADDRESS:______________________________________________________________________
______________________________________________________________________________
Country
__________________________________________ POSTAL CODE: ________________
TELEPHONE: _______________________ FAX:___________________________
EMAIL: ___________________________________________________________
Names of others sharing room (if any) ________________________________________________
DATE of
ARRIVAL: _____________ DATE of DEPARTURE: ________________
Room Rate:
$65/night for
non-Friday and Saturday night stay, $75/night for weekend + TAX
(about 11%)
[These
discount conference rates are guaranteed only until
NUMBER OF NIGHTS: _______ @ $65 per night = _______________
NUMBER OF NIGHTS: ________@ $75 per night = ______________
(Suites are available at a higher rate. Call or fax the hotel for details.)
Two Beds r One Large Bed r Suite r
Payment
details:
(Please circle) Money
order Credit Card
CREDIT CARD NUMBER:
____________________________________________
Expiration Date of Card (MM/YY) ______ Name of card holder ________________________
_____________________________________________________________________________
Signature of card holder Date
Should I need to change my
plans, I will notify the
hotel the day before I am scheduled to arrive. Otherwise the hotel will hold my
room for my arrival and charge my credit card for that night.
Please fax
completed form to
Hampton Inn & Suites Flagstaff
by 30th April 2005
Fax number +1 928-913-0800