*********************************************************************** Delta Chelsea RESERVATION E-MAIL/FAX FORM FOR CAiSE 2002 Reservation Department 33 Gerrard Street West Toronto, Ontario, Canada M5G 1Z4 Group "CAiSE 2002 Conference " **BE SURE TO MENTION** "CAiSE 2002" in the SUBJECT line of the e-mail/fax Copy and paste the form in the body of your e-mail. Fill it and send it to: reservations@deltachelsea.com Or Fax the printed form to Delta Chelsea Reservation Department 33 Gerrard Street West Toronto, Ontario, Canada M5G 1Z4 Fax: +1 416 585-4302 Reservations can also be made by calling the Delta Chelsea directly at +1 416 595-1975 (Toll Free: 1-800-CHELSEA) Please note that special rates are only guaranteed before April 30 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Name: ___________________ First Name: _____________ Mid. Init.: ___ E-Mail Address: _____________________________________________________ Organization: ______________________________________________________ Address: ____________________________________________________________ City: _____________________ State/Province: _________________________ Zip Code: _________________ Country: _______________________________ Phone #: __________________ Fax#: ___________________________________ Arrival Date: ____________ Approx Arrival Time: ____________________ Departure Date: __________ Room Type: Guest Room - Single (150 CAD + taxes) ( ) Guest Room - Double (170 CAD + taxes) ( ) Signature Club Room - Single (190 CAD + taxes) ( ) Signature Club Room - Double (210 CAD + taxes) ( ) Smoking ( ) Non-smoking ( ) Special Requirements and Requests: _________________________________ ____________________________________________________________________ ____________________________________________________________________ Credit Card Holder Name: ___________________________________________ Credit Card Type (Visa, Mastercard, Amex, ...): ___________________ Credit Card No: ___________________ Expiry date: ___________________ Credit Card Holder Signature: ______________________________________ ***********************************************************************