HOTEL RESERVATION FORM

Group Name: IEEE Computer Society ICNP ‘99

Please include one night's deposit with this form.

Please mail or fax this form with check or credit card number to:

Royal York Hotel

Attn: Karen Wilson

100 Front Street West

Toronto, Ontario, Canada M5J 1E3

FAX +1- 416-368-8148

Reservations must be made by 8 October 1999 at 5:00 p.m. Eastern time. Reservations made after this date are subject to availability of rooms and rates.

Please Print

Name:__________________________________________________________________

Last/Family First Middle Initial

Affiliation:_______________________________________________________________

Address:________________________________________________________________

City:______________________State:_______Zip:________________Country:_______

Phone:____________________________________Fax:__________________________

Please indicate the type of room you prefer:

Single/Double (one bed): $175.00 Canadian

Single/Double (two beds): $175.00 Canadian

Pacific Premier: $295.00 Canadian

Suites from: $460.00 Canadian

Smoking Non-Smoking

Arrival Date: _______________Time:______________ Flight:____________________

Departure Date: ________________Time:______________ Flight:________________

Deposit:

Credit Card: MasterCard Visa American Express Diners Club Discover

Credit Card Number: _______________________________Expiration Date:__________

(Please type or print clearly)

Signature:_______________________________________________________________