Hotel Registration Form

SOCIETY FOR INTEGRATIVE AND COMPARATIVE BIOLOGY
2000 Annual Meeting
January 4-8, 2000
Sheraton Atlanta


Address: 165 Courtland Street, Atlanta, Georgia 30303
Fax to: 404-523-3301
Call: 800-833-8624


PART I: GUEST INFORMATION

First Name ___________________________________________________________________________________________________

Last Name ___________________________________________________________________________________________________

Institution ___________________________________________________________________________________________________

Department __________________________________________________________________________________________________

Address _____________________________________________________________________________________________________

City____________________________________________________ State/Province ______________________________________

Country __________________________________________________________________________________________________

Zip/Postal Code __________________________________________________________________________________________________

Telephone __________________________________________________________________________________________________

Fax* __________________________________________________________________________________________________

E-Mail __________________________________________________________________________________________________

Sharing With ________________________________________________________________________________________________

Reservations will be made in the order received. All reservations must be made directly with the Sheraton Atlanta by completing ONE FORM FOR EACH ROOM REQUESTED. Note: Room rates below do not include 14% tax.

 Room Type  Room Rate  # Of Beds  Smoking  Non Smoking
 ___ Single/Double $140   ___ 1 Bed ___ 2 Beds    
 ___ Triple $160      
 ___Quad $180      

Arrival Date: _____________________________________

Departure Date: ___________________________________

PART II: ROOM GUARANTEE/CANCELLATIONS

To process your reservation, a credit card number is required to guarantee the room only. Credit cards accepted are VISA, MasterCard, American Express and Discover. Reservations must be canceled 6 pm hotel time one day prior to arrival, or your credit card will be charged for one night's stay.

PART III: SPECIAL REQUIREMENTS

It is important that you enjoy the SICB Annual Meeting. If, due to a disability, you have special needs or requirements, please let us know in the space provided below and we will do our best to accommodate you.

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PART III: PAYMENT INFORMATION

American Express  |   VISA  |   MasterCard  |   Discover  

Credit Card Number _________________________________________________________________________________

Expiration Date _________________________

Name on Credit Card ________________________________________________________________________________

Signature _________________________________________________________________________________________