RESERVATION
REQUEST FORM

 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
DATES: MAY 21-28, 1999

Please indicate accomodations desired:
 ______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  


Special Requests:____________________________________________________________

__________________________________________________________________________

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

RESERVATIONS MUST BE GUARANTEED FOR ARRIVAL BY ONE OF THE FOLLOWING

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 THE

ADAM'S MARK HOTEL
Formerly the Buffalo Hilton
ATTN: Reservations Department
120 Church Street, Buffalo, NY 14202
Call (716) 845-5100 for reservations or Fax to (716) 845-5377