DCMIC/CMP-MIC/Short Course February 25 - March 1, 2002 Application for Hotel Accommodations - Santa Clara Marriott DO NOT SEND WITH CONFERENCE REGISTRATION FORM - SEND DIRECTLY TO HOTEL -
Name:(type or print): Last, First, Middle
Firm/University
Address:
City/Country/Zip:
Phone:			FAX:			Email
Arrival Date: Departure Date:
Room type: Single___________________					Double___________________	Double-Double___________________________
Would you like to guarantee your reservations with a credit card or to company address listed above?
Company				Credit Card.
Please circle one:	MC	VISA	AMX	CB	DC	OTHER
Card Number___________________________________Expiration Date:_______________

Reservations must include first night's deposit in form of credit card or company guarantee. Check in time is 3:00 p.m. Your Reservation request must be received by February 02, 2002. Reservations received after that time are accepted only on a space and rate available basis.

Mail directly to Santa Clara Marriot Hotel Great American Parkway 2700 Mission College Blvd. Santa Clara CA 95052-8181 Attention: Reservations Phone (408 988-1599) Indicate VMIC Association Do NOT send with conference Registration Card

Schedule of Rates Single Occupancy/Double/Double-Double Occupancy - $179.00