REQUEST FOR ACCOMMODATION
AT PLACE VANIER RESIDENCE								

	
Open Space on Open Space IX
08/18/01 - 08/21/01	

Last Name:	First Name:	
		
Street Address:	
	
City:	Province/State:	PostCode/Zip :	
			
Country:	Telephone:	

Arrival Date				Departure Date			
Check-in  3 pm	Month	Day		Check-out 11am	Month	Day	

ACCOMMODATION					

Room types:  (Place Vanier Residence)		Rate/Night:

	 Single with Shared Washroom (1 single bed)	$22.00*
	 Twin with Shared Washroom (2 single beds)	$44.00*

If requesting a twin, please provide name of second guest:_________________________________
Single rooms with shared washroom will be substituted when requests for twin rooms cannot be accommodated.
All rates quoted in Canadian funds and are subject to applicable taxes.

Room Types: (Walter Gage Residence)						Rate/Night:

                                      	  Standard Single Room with Washroom Shared between 6 guests	$35.00
                              	  Premium Single Room with telephone, TV in	$49.00
		common lounge, washroom shared between 4 guests
	  Single Suite with Private Washroom*	$76.00
		
	  Double Suite (1 queen bed)*	$109.00
	
	  Court Suite (2 twin beds, 1 queen bed)*	$126.00v

*(includes TV, telephone, kitchenette and private washroom. )

v Court suites are based on double occupancy. A charge of $15.00 per person per night will apply for each additional person.

If requesting a Suite, please advise number of people:        

PAYMENT INFORMATION			 

•	Full payment in Canadian funds is due at check-in by cash, travellers' cheques, VISA, MasterCard or American Express (no personal cheques).
•	There is no guarantee required for Standard Single Rooms.  However, Premium Single Rooms and private washroom accommodation must be guaranteed with a credit card or with a deposit by bankdraft in Canadian funds for the equivalent of one night.
•	A one-night cancellation charge applies if cancellation in writing is not received 48 hours prior to check-in date.
•	Refunds of deposits will be subject to a  $15.00 administration charge.

 Visa          MasterCard           Amex 		Expiry Date:		
	  Credit Card Number	Month/Year	
Cardholder's Signature: 			Date Signed:  	

Please mail or fax this request before:    July 18, 2001                	
Reservations Office, UBC Conference Centre
5961 Student Union Blvd., Vancouver, BC, Canada V6T 2C9
Tel: (604) 822-1000    Fax: (604) 822-1001	Group Code:  v10818B  

When Mailing Please Indicate If Previously Faxed		  Yes	    No