Fax this Reservation Form for
Piccadilly Jarvis Hotel
Piccadilly Plaza, Portland Street
Manchester, UK M1 4PH
 
to  +44 161 236 2533

Reservation Allocation #145

InSITE 2006: Informing Science + IT Education Conference
June 25th  – 28th 2005
sponsored by
University of Salford

 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 - £55
     r Double/Twin Room - £65 (two people)
(Includes full English Breakfast)
A Hotel Car Park is available for use of residents for £7.50 per car per night
 

[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, 2006]

 

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
Piccadilly Jarvis Hotel
Piccadilly Plaza, Portland Street
Manchester, UK M1 4PH
 
Fax to  +44 161 236 2533