136th Session of the Executive Committee of the Pan American Health Organization , 20-24 June 2005

HOTEL RESERVATION FORM

Please return this form by 15 May 2005 to the

Attention of: Ms. Graciela Castonjáuregui Oficina Sanitaria Panamericana Marcelo T. de Alvear 684, 4o. piso,1058 Buenos Aires Phone: 5411-4312 5301 Fax: 5411-4311 9151

Please type or print in BLOCK LETTERS (form also available on the internet: www.paho.org).

Last name: ______First name: ______ Dr. Prof. Mr. Mrs.

Address: ______City: ______Zip/Postal Code: ______

Country: ______Area Code/Phone Number: ______

Fax: ______E-mail: ______

Arrival date Arrival time Flight No. From

Dept. Date Dept. time Flight No. To

HOTEL SINGLE or DOUBLE  Hoteles Elevage  Howard Johnson Plaza Florida Street  Marriott  Plaza San Martín Suites

NOTE: Please indicate the type of room. See reverse side for detailed hotel information.

Conditions and cancellation policy: PAHO has made block bookings at the above-mentioned hotels, but due to the strict clauses of the contracts, it is recommended that you make your reservation as soon as possible. The hotel will not guarantee the special rate or hold rooms beyond 15 May 2005. Rates after the deadline indicated will be considerably higher, and reservations subject to availability of rooms.

Should you be unable to arrive on the date indicated above, you are requested to give the hotel 72 hours advance notice; otherwise, they will require a “no-show” payment, which will be charged to your credit card. Reservations will only be confirmed if the credit card details are fully supplied.

Visa MasterCard American Express Dinners Other: ______

Credit card No. ______Expiration date: ______

Page 1 of 2 Category Single or Double

Hoteles Elevage 10 Rooms Maipu 960

Buenos Aires Executive: US$ 52 Phone: 5411 4891-8022 Junior suite: US$ 65 Fax: 5411 4891-8099/17 Executive suite: US$ 81 Internet: www.elevage.com.ar __ minutes walk to Palacio San Martín

Howard Johnson Plaza Florida Street 10 Rooms Florida 944 Buenos Aires

Phone: 5411 4891-9200 US$ 80 Fax: 5411 4891-9208 Internet: www.hjflorida.com.ar __ minutes walk to Palacio San Martín

Marriott Plaza Hotel Buenos Aires 40 Rooms Florida 1005 Buenos Aires Phone: 5411 4318-3000 Deluxe: US$ 115 Fax: 5411 4318-3008 Plaza view: US$ 240 Internet: www.marriottplaza.com.ar __ minutes walk to Palacio San Martín

Plaza San Martín Suites 10 Rooms Suipacha 1092

Buenos Aires Studio junior: US$ 58 Phone: 5411 4328-3575, 5411 4328-4740 Studio senior: US$ 68 Fax: 5411 4328-9385 Executive junior: US$ 78 Internet: www.plazasanmartin.com.ar __ minutes walk to Palacio San Martín

NOTE: All rates are per night and do not include taxes of 21%.

Page 2 of 2