ICSE-17 Hotel Reservation Form The Westin Hotel The following room rates are guaranteed if reservations are made and a first night's deposit is paid by 2 April 1995. After this date the rates will be offered only as available. This deposit is refundable only if a cancellation number is obtained from the hotel's reservation department by 6 pm on the date of arrival. To ensure the group rate, identify your reservation with group ICSE-17 (even if only attending co-located events). Single Double Full-Time Student $126.00 $146.00 $106.00 Add $25 per person per day for additional persons. Full-Time Students: A limited number of rooms are available at the student rate for sharing by groups of no more than four students. These will be reserved on a first-come, first-served basis. Mail completed form (one form per room) to The Westin Hotel 1900 Fifth Ave. Seattle, WA 98101 USA Or Phone: +1 800.228.3000 (USA & Canada) +1 206.728.1000 Or Fax: +1 206.727.5829 To ensure that your request is handled quickly and efficiently, please print or type all information requested: Guest Name__________________________________ Affiliation_________________________________ Address_____________________________________ ____________________________________________ ____________________________________________ Phone___________________ Fax________________ Arrival Date________ Departure Date_________ Sharing with________________________________ Room Type: __1 King (1-2 people) __2 Doubles (2-4 people) __Non-smoking Special Needs:_____________ (Non-smoking rooms and rooms for disabled persons can be requested, but are not guaranteed) Credit Card (circle one): VISA MasterCard Discover American Express Carte Blanche Diners Club JCB Name on Card________________________________ Card Number____________________ Expires_____ Signature___________________________________