ICDCS '97 Hotel Registration

Guest Room Reservation Form
ICDCS '97

Stouffer Renaissance Harborplace Hotel
202 East Pratt Street
Baltimore Maryland 21202
Phone: 1-800-535-1201, Fax: 1-410-539-5780
May 27 - 30, 1997
Local Arrangements

Please reserve:

No. of Rooms:
[ ] Standard room with single occupancy $147
[ ] Standard room with double occupancy $147
[ ] Harborview room with single occupancy $167
[ ] Harborview room with double occupancy $167
[ ] Club Level room with single occupancy $177
[ ] Club Level room with single occupancy $197

All room rates are subject to 12.5% tax


Arrival Date:___________________
Departure Date:___________________
Non-Smoking Room Preferred:     [ ] Yes        [ ] No
Bed Type Preferred:     [ ] King     [ ] Queen

Please type or print legibly:


Name :______________________
Company:______________________
Address :______________________
City :___________ State:____________ Zip:________________
Daytime Phone: (____)_____________________
Sharing room with:__________________________________ *
* To avoid duplication of reservation, please submit only one form when sharing accommodations with one or more individuals.

Guarantee Method:

Credit card: [ ] AMX [ ] VISA [ ] MC [ ] JCB [ ] DISCOVER [ ] ENROUTE [ ] DINERS

Credit card number: ______________________________________________ exp. _______________
Card Holder's Signature: ___________________________________

Please make room reservations prior ro 5/1/97 via mail, phone or fax.