PRIVATEHotel Reservation Form Monterey Beach Hotel Refer to Room Block:Service Life Prediction

PRIVATEPlease complete form and return to: Liz Bala Monterey Beach Hotel 2600 Sand Dunes Drive Monterey, CA 93940 or call 1-800-242-8627

or call 1-831 394-3321 or FAX: 831-393-1912

Name________________________________________________________________

First Last

Affiliation_________________________________________________________

Address_____________________________________________________________

City_____________________State________Country_____________Zip_______

Phone____________________________Fax________________________________

Room Type:

PRIVATE___ Gardenside: Single/Double room rate $99.00 + 10% tax (Additional Person $15.00)

___ Oceanside: Single/Double room rate $119.00 + 10% tax (Additional Person $15.00)

(To secure your preferred room, make your reservations as soon as possible)

PRIVATEArrival Date _________________

Departure Date ________________

Non-smoking________________

Smoking_________________

All reservations must be guaranteed by a major credit card or deposit for one night lodging.

PRIVATE______ Visa ______ Discover ______ Diner’s Club ______ Master Card ______ American Express

PRIVATECredit Card Number______________________________ Expiration Date__________________________________ Signature_______________________________________

If sending a deposit, please make your check payable to Monterey Beach Hotel.

The Hotel must receive your reservation by October 21, 1999 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.