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<table><tr><td><p>PRIVATE<strong>Hotel Reservation Form</strong> Monterey Beach Hotel Refer to Room Block:<strong>Service Life Prediction</strong> </p> </td><td><p>PRIVATEPlease complete form and return to: Liz Bala Monterey Beach Hotel 2600 Sand Dunes Drive Monterey, CA 93940 or call 1-800-242-8627</p> <p>or call 1-831 394-3321 or FAX: 831-393-1912</p> </td></tr></table>
<p>Name________________________________________________________________ </p>
<p>First Last</p>
<p>Affiliation_________________________________________________________</p>
<p>Address_____________________________________________________________</p>
<p>City_____________________State________Country_____________Zip_______</p>
<p>Phone____________________________Fax________________________________</p>
<p><strong>Room Type: </strong></p>
<table><tr><td><p>PRIVATE___ Gardenside: Single/Double room rate $99.00 + 10% tax (Additional Person $15.00)</p> </td></tr><tr><td><p>___ Oceanside: Single/Double room rate $119.00 + 10% tax (Additional Person $15.00)</p> </td></tr></table>
<p><strong>(To secure your preferred room, make your reservations as soon as possible) </strong></p>
<table><tr><td><p>PRIVATEArrival Date _________________</p> </td><td><p>Departure Date ________________</p> </td></tr><tr><td><p>Non-smoking________________ </p> </td><td><p>Smoking_________________</p> </td></tr></table>
<p><strong>All reservations must be guaranteed by a major credit card or deposit for one night lodging. </strong></p>
<table><tr><td><p><em>PRIVATE</em>______ Visa ______ Discover ______ Diner’s Club ______ Master Card ______ American Express </p> </td><td><p>PRIVATECredit Card Number______________________________ Expiration Date__________________________________ Signature_______________________________________ </p> </td></tr></table>
<p> If sending a deposit, please make your check payable to <strong>Monterey Beach Hotel</strong>.</p>
<p>The Hotel must receive your reservation by <strong>October 21, 1999</strong> in order to guarantee availability and lodging at the conference rates. Reservations made after this date will be accepted on a rate- and space-availability basis only. </p>
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