HOTEL RESERVATION FORM

Group Name: IEEE Computer Society ICCD 2000

Please mail or fax this form with credit card number to:

Austin Marriott at the Capitol
701 East 11th Street
Austin, Texas 78701
FAX +1-512-404-6979
+1-512-478-1111 or 1-800-228-9290


Reservations must be made by the end of the business day on Monday, 28 August 2000.
Reservations made after this date are subject to availability of rooms and rates.

Please Print
Name: __________________________________________________________________
            Last/Family                             First                                                     Middle Initial

Affiliation:  _______________________________________________________________

Address:  ________________________________________________________________

City: ______________________State:_______Zip:________________Country:_________

Phone:  ____________________________________Fax: __________________________

Please indicate number of occupants and your room preferences:

Room rate is $139.00.

__ One occupant            __ Two occupants
__ One king bed             __ Two double beds
__ Smoking                    __ Non-smoking
Arrival Date: _______________Time:______________ Flight:____________________

Departure Date: ________________Time:______________ Flight:________________

Guarantee: (required)

To guarantee a reservation guests must either (1) send a check or money order covering the first night's room rate plus applicable sales tax ($159.85) to the Marriott, or (2) send this form authorizing the Hotel to charge the room deposit and applicable sales tax to the guest's major credit card, or (3) give the guest's major credit card by telephone.

Credit Card:

__ MasterCard  __ Visa  __ American Express  __ Diners Club  __ Discover
Credit Card Number: _______________________________Expiration Date: __________
(Please type or print clearly)

Signature: _______________________________________________________________

Cancellations must be made by 6:00 pm on the day of arrival.