HOTEL RESERVATION REQUEST Return this form directly to THE HOTEL OF YOUR CHOICE (Address, telephone, fax numbers are listed on a separate page) Do NOT send this form to TRIUMF HOTEL NAME______________________ FAX_________________ Group: Particle Accelerator Conference (PAC97) - May 12-16, 1997 Surname: _____________________ First name/initials______________ (Please print) Institute:______________________________________________________________________ Address: ______________________________________________________________________ City: _________________ State/Country_________________ Postal Code__________ Telephone _______________________________Fax____________________________________ Arrival date_______________Arrival Time_______________Departure Date____________ Room Rate* (per night in Canadian Dollars)______________________________________ Room request: Single ____ Double (1 bed) ____ Twin (2 beds)_____ Sharing Room with____________________________________________________________ Smoking YES ______ NO _____ Special Requirements_________________________________________________________ *For Hotel Vancouver only: if desired room is sold out, please reserve room at the next higher rate Yes _____ No _____. All above rates are net, non-commissionable to travel agents, and subject to 7% GST (refundable to non-residents of Canada) and 10% room tax. TO GUARANTEE YOUR RESERVATION - first night deposit is required by the deadline set by your hotel - see hotel information page. Credit Card: Amex _____ Visa _____ Mastercard _____ Diners Club _____ Cheque/Money order_____ Card#____________________________________Expiry Date_________________________ Signature________________________________ Name on card_______________________ Note: UBC Conference Centre accepts Visa and Mastercard ONLY.