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:_______________________________________________________________