Hotel Reservation Form - 11th International Conference on Secondary Ion Mass Spectrometry (SIMSXI) - Hilton at Walt Disney World Village - September 7-12, 1997
 
Please FAX this form directly to the Hotel at +1 407 827-3890
Group Information: SIMS XI
Valid Nights: September 7 through September 12, 1997 (Rates available 3 days before and after meeting on a space available basis)
 
*** DEADLINE FOR RESERVATIONS IS AUGUST 1, 1997 ***
 
A. Choose One Rate
* ___ $120 per night (single or double) for a Standard Room
* ___ $170 per night (single or double) for a Towers Room
* ___ $170 per night (single or double) for a Junior Suite
* ___ $170 per night (single or double) in either Towers Room or Junior Suite
Rates shown do not include 11% tax nor gratuities.
 
B. Indicate Rate Options
* ___ If $170 rate is not available, please reserve at the standard rate of $120
* ___ If $170 rate is not available, please do not make any reservations
 
C. Hilton Honors Membership
* ___ I am a Hilton Honors member. My membership number is __________________________
 
D. Guest Information
I will arrive on (mm/dd/yr): __________ Number of nights: ____ Number of Guests:___
Name:________________________________________________________________________________
Mailing Address: ____________________________________________________________________
City: _________________ State/Province: _________ Postal Code (Zip): ________________
Country: __________________
Telephone: _____________________ Fax: _______________________
Name(s) of additional persons sharing room:__________________________________________
Special Requests: ___________________________________________________________________
 
E. Guarantee Information
Credit Card #: _______________________________ Expiration Date (mm/yr): ____________
Credit Card Type: __________________ Signature (required): __________________________
 
F. Confirmation
* ___ Send my confirmation by mail to the mailing address in Section D.
* ___ Send my confirmation by FAX to the fax number in Section D.

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