WORDS 2003 Hotel Reservation Form

For the hotel reservation, please complete this form and send either the signed form via FAX (1-949-824-3203) or send the form via email first (to Dr. Hugo Cesar Coyote Estrada ([email protected]) with copy to Chansik Im ([email protected])) and later signed form via FAX (1-949-824-3203) by December 2.

First Name: Last Name: Title: Mailing Address: City: State: Postal Code: Country: Phone: Fax: E-mail:

Hotel Reservations (WORDS2003 Special Rate / Deadline: December 2, 2002) Please make the following reservations: Arrival: Departure: No. of nights:

Category Single Double Non-smoking Smoking A Standard Garden ( ) $93.60 ( ) $93.60 ( ) ( ) B Standard Tower ( ) $93.60 ( ) $93.60 ( ) ( ) C Executive Floor** ( ) $127.00 ( ) $127.00 ( ) ( )

 The hotel prices shown are per room, per night, single or double occupancy.  ** This rate includes continental breakfast and snacks in the afternoon.  Guarantee policy: All reservations must be guaranteed with credit card or a deposit for first night stay and tax.  Cancellation policy: In case you do not show up the first night deposit will be charged to your credit card account.

Credit Card: ( ) VISA ( ) Master Card Credit Card number: Name of Card Holder: Expire Date: Authorized signature:

Questions can be addressed to [email protected].