The Boston Park Plaza Hotel & Towers: Reservation Form ADASS '92 Conference, November 2--6, 1992 Name:_________________________________________________________________________ Telephone(home):_______________________ (office):_____________________________ Address:______________________________________________________________________ City:__________________________________ State:____________ Zip:______________ For Arrival on:________________________ Depart on:___________________________ Please reserve: _____ Single @ $96/per night ...+9.7% tax _____ Double/Twin @ $116/per night ...+ 9.7% tax _____ Smoking _____ Non-smoking Name(s) of persons sharing accommodation: ______________________________________________________________________________ Note: send only one registration form per room * Group reservations are assigned on a priority, as received, basis. * Must be received by September 30... after that date, will confirm on availability only. * Reservations for arrival after 4:00pm must be guaranteed via AMEX, VISA, MasterCard, or Diner's Club (card number, expiration date, and your name) or by company or personal check. * If plans change or need to cancel (before 4:00pm Boston time of scheduled check-in date), call 800-225-2008 to avoid billing. Retain cancellation number given by hotel agent at point of canceling. * Check in after 2:00pm. Check out prior to noon. Please check one ___________ Check or Money Order enclosed. Amount:___________________ ___________ American Express ___________ VISA ___________ MasterCard ___________ Diner's Club Credit Card #:____________________________________ Expiration Date:___________ Signature_____________________________________________________________________ All hotel payments should be made payable to The Boston Park Plaza Hotel & Towers and MAIL TO: The Boston Park Plaza Hotel & Towers 64 Arlington Street at Park Plaza Boston, MA 02117 Attention: Reservations Manager