ROYAL SONESTA HOTEL RESERVATION FORM

MIT-W3C All Group Meeting and Technical Plenary 3-7 March 2003

Please complete, print, and fax this form to the Royal Sonesta Hotel: +1.617.806.4232.

First Name:_________________________ Last Name:____________________________________

Email:____________________________________________________________________________

Company/Organization:______________________________________________________________

Address:__________________________________________________________________________

City:___________________State/Province:________________ Zip/Postal Code:________________

Country:_______________________ Tel:______________________ Fax:______________________

MIT-W3C Discount Room Rate:  $140.00 Single/Double (plus tax).
Discount rate will expire: Wednesday 1 February 2003, 5:00 pm Eastern Time (21:00 UTC).

Arrival Details:

Arrival Date:_______________ Arrival Time__________Departure Date:______________

Total number of night(s):________ Number of persons:________ [ ] Smoking [ ] Non-Smoking

A credit card number is required to process your hotel reservation.

[ ] American Express [ ] Master Card [ ] Visa [ ] Diners Club

Card Holder:________________________________________________ (Please Print)

Card Number:___________________________________ Exp. Date(Month/Year):_____/_____

Signature:_______________________________________________Date:_________________

$Date: 2003/01/17 15:48:26 $