NASFiC ROOM RESERVATION FORM www.99.nasfic.org You can make your sleeping room reservations for NASFiC by one of the three following methods: * You can call the hotel direct to make a reservation at 714/750-8000 or the Marriott Reservation Center toll-free in the United States & Canada at 800/228-9290 (credit card guarantees only). Please note that suite reservations will not be taken over the telephone. * You can complete this form and fax it to 714/750-9100 (credit card guarantees only). * You can complete this form and mail it to the Anaheim Marriott, 700 West Convention Way, Anaheim CA 92802 (credit card, check or money order guaranteee). The Marriott will send you a confirmation after it receives your reservation. NAME:_________________________________ ARRIVAL DATE:____________________ ADDRESS:______________________________ DEPARTURE DATE:__________________ CITY/STATE/PROVINCE:__________________ MEMBERSHIP NUMBER:_______________ COUNTRY:______________________________ ZIP/POSTAL CODE:_________________ EMAIL ADDRESS:________________________ DAYTIME PHONE:( )______________ ROOMMATE #1 NAME:_____________________ CHILD? Yes/No CHILD'S AGE:_______ ROOMMATE #2 NAME:_____________________ CHILD? Yes/No CHILD'S AGE:_______ ROOMMATE #3 NAME:_____________________ CHILD? Yes/No CHILD'S AGE:_______ MARRIOTT HONORED GUEST FREQUENT STAY CARD #:____________________________ TYPE OF ROOM DESIRED: [_] SINGLE ($99) [_] DOUBLE ($99) [_] DOUBLE DOUBLE ($99) (1 Person, 1 bed) (2 People, 1 bed) (2 people, 2 beds) [_] TRIPLE ($99) [_] QUAD ($99) (3 people, 2 beds) (4 people, 2 beds) ** All rooms are subject to applicable taxes in the ** ** amount of 15% plus a $.15 per night commerce fee ** [_] HANDICAP ACCESS REQUIRED [_] NON-SMOKING ROOM REQUESTED [_] PARTY FLOOR [_] QUIET FLOOR ** If you do not designate a party or quiet floor, we will ** ** assign you to whichever floor is appropriate to our block. ** Special requests or keyword: ___________________________________________ ROOM DEPOSIT/GUARANTEE PAYMENT (Circle One): Check Money Order Visa MC AmEx DC CB Discover CARD NUMBER #_______________________ EXPIRATION DATE:_____________ SIGNATURE:_________________________________________________________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SUITE REQUESTS: Please copy and complete this form and attach a note outlining your room requirements and send them to NASFiC SUITES, c/o SCIFI, PO Box 8442, Van Nuys CA 91409. Or email suites@99.nasfic.org.