IACM 2000 Conference

Hotel Registration Form

St. Louis, Missouri : June 17-21, 2000

Print out this form, complete it and mail or fax it to:

Hyatt Regency St. Louis
One St. Louis Union Station
St. Louis, MO 63103
USA

Telephone: 1-314-231-1234 or 1-800-233-1234
Sales Fax: 1-314-923-3970

Reservations must be received by MAY 31, 2000. Prices for rooms DOUBLE after this date.

When making your reservation, please refer to IACM CONFERENCE

Name: ______________________________________________________________

Address:____________________________________________________________________

_________________________________________________________________________

E-mail: _____________________________________________

Phone: _______________________________

Fax: _________________________________

Arrival Date (mm/dd/yy): ____/____/____ Departure Date (mm/dd/yy): ____/____/____
Check-in time is 3:00pm. Check-out time is 12:00 Noon.

RATES (per ROOM, not per person):

Single Occupancy, $129 per night: __________

Double Occupancy, $129 per night: __________

Triple Occupancy, $154 per night: __________

Quadruple Occupancy, $179 per night: __________

All reservations must be guaranteed by one night's deposit or credit card (preferably by credit card). This deposit is not refundable 72 hours or less prior to arrival.

Checks should be made out to: Hyatt Regency St. Louis

Credit Card Type:
[ ] American Express [ ] Mastercard [ ] Carte Blanche [ ] Diners Club [ ] Discover [ ] Japan Credit Bureau [ ] Visa

Credit Card #:_________________________________ Expiration Date (mm/yy):_____________

Signature: ____________________________________

Be sure to send this form directly to the Hyatt Regency St. Louis and NOT with the conference registration.

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