HOTEL RESERVATION FORM   

Group Name: IEEE Computer Society CIIS 99

Please include one night's deposit with this form.

Please mail or fax this form with check or credit card number to:

Hyatt Regency Bethesda
One Bethesda Metro
Bethesda, MD  20814
FAX +1-301-657-6453 
+1-301-657-6452 - Reservations accepted 8:00am - 5:00pm Eastern time.
+1-800-233-1234 

Reservations must be made by Friday, 8 October 1999.  A specified number of 
room have been blocked for this meeting.  Reservations will taken on a 
first-come, first-served basis and must be received no later than 5:00 p.m. 
EST on Friday, 8 October 1999.  Once the block is filled or the cut-off date 
has passed, additional reservations will be accepted subject to availability 
of rooms and rates.

Please Print
Name:__________________________________________________________________ 
              Last/Family				First				Middle Initial

Affiliation:_______________________________________________________________ 

Address:________________________________________________________________

City:______________________State:_______Zip:________________Country:_______

Phone:____________________________________Fax:__________________________

Please indicate the type of room you prefer:

Single	$149.00 per night     Double	$174.00 per night

Arrival Date: _______________Time:______________ Flight:____________________

Departure Date: ________________Time:______________ Flight:________________

Deposit:
Enclosed is my check for one nights deposit
Credit Card: MasterCard     Visa      American Express     Diners Club Discover

Credit Card Number: _______________________________Expiration Date:__________                      
(Please type or print clearly)

Signature:_______________________________________________________________

HOTEL INFORMATION: Reservations made after Friday, 8 October 1999, are subject ]
to rate and room availability.  Hotel rates do not include Maryland State sales
tax of 5%.  Cancellations must be received by 3:00 p.m. the day prior to 
arrival.  Any reservations cancelled after this time will be subject to a 
cancellation fee of one night's lodging.

TAX EXEMPT:  Tax exempt status is only allowed if payment is received by 
school/government/university check or credit card.  Tax exempt status is not 
allowed if paying with a personal credit card.  Copy of Maryland State Tax 
Exemption Certificate required.