2007 VMIC
September 24 - 27, 2007

Application for Hotel Accommodations - Fremont 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___________________________

You must guarantee your reservations with a credit card!

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 September 10, 2007. Reservations received after that time are accepted only on a space and rate available basis.

Mail directly to
Fremont Marriott
46100 Landing Parkway
Fremont, CA 94538
Phone 510-413-3700
Fax 510-413-3728
Indicate VMIC Association
Do NOT send with conference Registration Card