Please provide the following contact information: 

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

           Arrival date:              Month January February March April May June July August September October November December Day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Year 2004 2005 2006 2007 2008

          Type of Accommodation: Please Select one Jr. Suite Studio 1 Bedroon 2 Bedroom Category 1 Economy Room Category 2 Economy Room Non-Smoking Room Handicapped *

           Number of Persons:                

           Number of nights:                    

           Number of Rooms Required:  

          If you have any any special request please fill in the box below:

In order to confirm your reservation please provide the following credit
card information by Fax or telephone
(please note that we are unable to accept debit cards):

	BILLING
Credit card	Select Card Type VISA MasterCard American Express
Cardholder name
Card number
Expiration date	Select Month 01 02 03 04 05 06 07 08 09 10 11 12 Select Year 2002 2003 2004 2005 2006 2007 2008