University of Colorado at Boulder Summer Conference Housing Reservation Department of Housing - Office of Conference Services Telephone: (303) 492-5151 Fax: (303) 492-5959 (Please Type or Print Clearly) Name of Conference: ACL2 Workshop -- July 12-14, 2003 Participant's Name (Last / First / Initial): Sex: F M Address: City: State: Zip: Country: Daytime Telephone: ( ) Fax: ( ) E-mail Address: Arrival Date: Departure Date: All charges are based on a package rate. There will be no credit for missed nights. Package includes TWO nights lodging. No meals are included in this package. Package cost per person are: Single room: $105.30 plus tax, Double room PER PERSON $ 56.10 plus tax. Arrival is Saturday July 12. Departure is Monday July 14. One day early arrivals can be accommodated and late departures of up two nights for international visitors will be accommodated on a first-come first-served basis. The rate per extra night is $50.95 plus tax, in a single and $26.35 per person plus tax, in a double room. =============================================================================== Please select one of the following: ___________ *Single (1 per room) ___________ Double Room (2 per room -- price is per person) (Roommate name) __________________ Special Needs: =============================================================================== Complete if accompanied by guest and/or family member: Guest Name: Arrival Date: Departure Date: Children: (Name) (Age) (Sex) Arrival Date: Departure Date: Children: (Name) (Age) (Sex) Arrival Date: Departure Date: Payment is DUE at Check-in (Check-in is available 24 hours a day). Cash, traveler's checks, personal checks, VISA, MasterCard, American Express, Diners Card, and Discovery Card will be accepted. Checks must be in U.S. Dollars drawn from a U.S. Bank. Do not send payment (money) in advance. Mail form to: Office of Conference Services Office use: 500 30th Street, Confirmation date: Boulder, CO 80310 Initial: Fax form to: (303) 492-5959 E-mail form to: confreg@colorado.edu O/OCS/Housing/Lodging/Forms/Summer Housing Reservation Form