![]() |
RESERVATION
|
| 120 Church Street, Buffalo, NY 14202 (716) 845-5100 |
| Family Name ________________________________ | First Name __________________________________ |
| Dept _______________________________________ | Inst_________________________________________ |
| Street ______________________________________ | Box/Apt#____________________________________ |
| City _______________________________________ | St/ Prov __________Zip/PostalCode______________ |
| Country ____________________________________ | Phone ______________________________________ |
| Sharing room with ____________________________ | Fax ________________________________________ |
Arrival Date:_______________________________ |
Departure Date: ____________________________ |
GROUP: AMERICAN CRYSTALLOGRAPHIC ASSOCIATION
|
| ______Single (1 person, 1 bed) | $99.00 + 13% tax | ______Smoking room |
| ______Double (2 people, 1 bed) | $99.00 + 13% tax | ______Non-Smoking room |
| ______Double/Double (2 people, 2 beds) | $99.00 + 13% tax | |
__________________________________________________________________________ | ||
| If suites are required, please contact the hotel directly. NOTE: Specific accomodations and room assignments will be determined upon check-in according to room availability at that time. In order to assure room reservations, all requests must be received by May 3, 1999. Reservations not made by the group cut-off date will be accepted after that day upon availability at the best available rate. |
Check-in time is 3:00 pm |
Check-out time is 12:00 noon |
One night deposit ($99.00 + $12.87 tax = $111.87)
| _____Check | _____Visa | _____American Express | _____Diners Club |
| _____Discover | _____MasterCard | _____Carte Blanche |
| Credit Card# _____________________________________ | Exp. date: _________ |
| Signature ________________________________________ | Good Thru: __________ |
| For guaranteed reservations I understand that I am liable for one night's room and tax which will be deducted frommy deposit or billed through my credit card in the event I do not cancel by 4:00 pm on the day of arrival. |
PLEASE RETURN THIS REQUEST TO THEADAM'S MARK HOTEL
|