Marina Beach Marriott Hotel Reservation Form

2004 CMP-MIC February 23 - 26, 2004 Application for Hotel Accommodations - Marina Beach 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. Check in time is 3:00 p.m. Your Reservation request must be received by February 9, 2004. Reservations received after that time are accepted only on a space and rate available basis.

Mail directly to Marina Beach Marriott 4100 Admiralty Way Marina Del Rey, CA 90292 Phone: 1 310-301-3000 Fax: 1 310-448-4870 Indicate CMP-MIC Association Do NOT send with conference Registration Card

Schedule of Rates Single Occupancy/Double/Double-Double Occupancy - $169.00