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University of Colorado at Boulder

On-Campus Lodging Reservation

CU Conference Services Telephone: (303) 492-5151 Fax: (303) 492-5959
(Please Type or Print Clearly) Reservation Deadline July 20, 2010

Name of Conference: ASP (Cosmos in the Classroom & EPO) August 1 - 4, 2010 Participant's Name: / /
Last F ir s t Initial

Gender: F

M

Address: /
City State

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Zip/Postal Code

_________________________ /
Country

Daytime Telephone: ( E-mail Address:

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Fax: (

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Residence Hall rooms are furnished with twin beds with linen & towels, with microwave. Daily (Mon ­ Fri) housekeeping services are provided bathrooms (by gender) are provided per hallway serving approximately smoke-free and are not air-conditioned. One portable fan per gues in rooms. Campus parking permits may be purchased at check-in from $22/week.

dresser, desk, and mini-fridge in guest rooms. Community 8-10 rooms. Buildings are t is provided. No phone service the residence hall front desk for

Please note: This is a room & board package and there are no refunds for missed meals or nights.
Child Rates: Children 13 years old and over will be charged the full adult room and board rate. Children under 6 years old will not be charged for room and board. Please list name, gender and age of all children staying with you: _____________ ___________________________________________________________________________________________________

I r e q u e s t: _ _ _ S in g le r o o m

_ _ _ D o u b le r o o m

If a double room, would you like to be assigned a roommate to share a double room with? YES NO If a single room is unavailable, would you be willing to share a double room with another conference participant. YES NO

Conference Three nights dinner in the Package Package Package

- Room and Board Package: Vegetarian __ Yes __ No for Tues Award Banquet lodging with arrival Aug 1 and departure Aug 4. Breakfast Mon-Wed (3), lunch Mon ­ Wed (3), Dining Hall Sunday and Monday (2), and Tuesday Award Banquet at the UMC are included. rate per person in single: $364.07 including tax. rate per person in double: $270.13 including tax. Roommate Name:___________________________ rate per child (age 6-12) in double: $64.22 including tax. Name(s): __________________________

Early Arrival & Late Departure: July 30 or July 31 arrival and/or August 5 departure. You may arrive 2 days prior to your conference package date and depart 1 day after your package date. Meals not included. Check additional nights you will be staying: __ July 30 (Fri) __ July 31(Sat) __ August 4 (Wednesday) Rate per night, per person in single is: $ 66.84 including tax. Rate per night, per person in double is: $ 35.53 including tax. Rate per night, per child (age 6-12) in double is: $15.74 including tax.

Special Needs: Payment is due at check-in (Check-in is available 24 hours a day). Cash, traveler's checks, personal checks,
VISA, MasterCard, American Express, Diners Card, and Discovery Card will be accepted. Checks must be in U.S. dollars drawn from a U.S. Bank. Do not send payment (money) in advance. Mail form to: CU Conference Services Office Use: 500 30th Street Confirmation Date: Boulder, CO 80310 USA _______________ Initial:_________ Fax form to: (303) 492-5959 E-mail form to: confreg@colorado.edu I understand that full payment for lodging will be expected at time of check-in. Once I have paid, and checked in with the housing front desk, I understand there will be no refunds even if I decide to leave early for any reason. Sending registration form by email is considered signature and agreement with this policy.
Signature Date