802.16 Session #0 Registration Form

Registration Form
802.16 Interim Session #0: May 10-12, 1999
Regal Harvest House Hotel
1345 28th St.
Boulder, CO 80302-6899
1-303-443-3850 (tel)   1-800-545-6285 (toll-free)   1-303-443-1480 (fax)

Salutation: Dr.     Mr.     Ms.
First Name:  Last Name: 
Company:
Address:
City:  State:  ZIP: Country: 
Email: Phone:  Fax: 

Please register me for the meeting. A $50 registration fee will be assessed on-site.

Please use the button below to email the information above to Roger Marks for meeting planning purposes (or, if that doesn't work, simply email it directly):

The following information cannot be submitted digitally. Instead, fill it out, print it (along with the contact info above), sign it, and fax it to 1-303-443-1480:

Please reserve the following room: Deluxe Single Ocupancy: $109   Deluxe Double Ocupancy: $119
Regal Club Upgrade: $30 per night   Additional Person: $10. Guest name: 
Smoking Non-Smoking     Special Requests: 

Arrival Date (3 pm check-in):    Departure Date (11 am check-out): 

Your reservation will be accepted only with a guarantee by check or credit card:

Enclosed is a check for one night payable in $US to "Regal Harvest House"
Credit card guarantee: VISA MC AmEx DC CB

Card Holder Name:  Card#:  Exp: 

Signature:

Confirmation:
To confirm your registration, look for your name on the registration list. Please call the hotel if you wish to confirm your room reservations.

Hotel Room Refunds:
A full refund will result if the reservation is cancelled prior to 4 pm on the arrival date. Later cancellation will result in forfeit of one night's room and taxes.

Hotel Room Cut-Off Date: Rooms will be held only through April 16. Afterwards, reservation requests at the conference rates will be honored provided that space is available.

Session details:
Roger B. Marks