Fax this Reservation Form for
Britannia Hotel
35 Portland Street
Manchester, UK
M1 3LA
to +44 161 236 9154
Reservation Allocation #15
Conference organized by the Informing Science Institute. Eli Cohen and Elizabeth Boyd, Organizers@InSITE.nu
NAME of Delegate:_____________________________________________________________
ADDRESS:______________________________________________________________________
______________________________________________________________________________
Country __________________________________________ POSTAL CODE: ________________
TELEPHONE: _______________________ FAX:___________________________
EMAIL: ___________________________________________________________
Names of others sharing room (if any) ________________________________________________
DATE of ARRIVAL: _____________ DATE of DEPARTURE: ________________
Room Rate (check one box below)
r
Single Room - £59
r
Double Room / Twin Room -
£70 (2 people)
Internal Rooms (no windows):
r £49
(single)
r £59
(double)
(Includes full English Breakfast and free wireless LAN Internet Access)
[Please note
that there is limited availability of rooms of each type; first come, first
serve. These discount conference rates are available only until
May 15
NUMBER OF NIGHTS: ________________ @ £ ______ per night = _______________
Payment details are required to make reservations.
CREDIT CARD NUMBER: ____________________________________________
Expiration Date of Card (MM/YY) ______ Name of card holder ________________________
_____________________________________________________________________________
Signature of card holder
Date ____________________
Should I need to change my plans, I will notify the hotel the day before I am scheduled to arrive. Otherwise the hotel will hold my room for my arrival and charge my credit card for that night.
Please
fax completed form to
Britannia Hotel
35 Portland Street, Manchester, UK, M1 3LA
Fax +44 161 236 9154