+---------------------------------------+------------------------------+
| **Hotel Reservation Form**\           | Please complete form and     |
| Monterey Beach Hotel\                 | return to:\                  |
| Refer to Room Block:**Service Life    | Liz Bala\                    |
| Prediction**                          | Monterey Beach Hotel\        |
|                                       | 2600 Sand Dunes Drive\       |
|                                       | Monterey, CA 93940\          |
|                                       | or call 1-800-242-8627       |
|                                       |                              |
|                                       | or call 1-831 394-3321\      |
|                                       | or FAX: 831-393-1912         |
+---------------------------------------+------------------------------+

Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

First Last

Affiliation\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_State\_\_\_\_\_\_\_\_Country\_\_\_\_\_\_\_\_\_\_\_\_\_Zip\_\_\_\_\_\_\_

Phone\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Fax\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

# Room Type: 

  -----------------------------------------------------------------------
  \_\_\_ Gardenside: Single/Double room rate \$99.00 + 10% tax
  (Additional Person \$15.00)

  \_\_\_ Oceanside: Single/Double room rate \$119.00 + 10% tax
  (Additional Person \$15.00)
  -----------------------------------------------------------------------

(To secure your preferred room, make your reservations as soon as
possible)

  --------------------------------------------- -------------------------------------------
  Arrival Date                                  Departure Date
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_            \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Non-smoking\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_   Smoking\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
  --------------------------------------------- -------------------------------------------

All reservations must be guaranteed by a major credit card or deposit
for one night lodging.

  --------------------------- -----------------------------------------------------------------------------------------
  \_\_\_\_\_\_ Visa\          Credit Card Number\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\
  \_\_\_\_\_\_ Discover\      Expiration Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\
  \_\_\_\_\_\_ Diner's Club\  \
  \_\_\_\_\_\_ Master Card\   Signature\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
  \_\_\_\_\_\_ American       
  Express                     

  --------------------------- -----------------------------------------------------------------------------------------

If sending a deposit, please make your check payable to **Monterey Beach
Hotel**.

The Hotel must receive your reservation by **October 21, 1999** in order
to guarantee availability and lodging at the conference rates.
Reservations made after this date will be accepted on a rate- and
space-availability basis only.