Hotel Registration Form


ANNUAL INTERNATIONAL OCCUPATIONAL ERGONOMICS

AND SAFETY CONFERENCE '98

JUNE 7-15, 1998

$115.00

Marriott

HOTELS ŨRESORTS ŨSUITES

Please Reserve Room(s) for Persons with

King Bed     2 Double Beds      King Bed

Smoking     Non-Smoking Room      Accessible Room

Name (Please print clearly)

Address Phone

City/State/Zip

For Arrival On Depart on (Day-Date) (Day-Date)

Time of Arrival

Or Call (313) 487-2000, Fax (313) 487-0773

Please be sure your reservation reaches the Hotel by May 7, 1998 to insure your accommodations. After this date, rooms will be provided on a Space Available basis only.

Check Out time is 12:00 pm. Rooms may not be available for Check-In until after 4:00 pm.

Reservations will be held till 6:00 pm local time, unless guaranteed by one night's deposit, company guarantee of payment or guarantee of payment through a credit card.

ADVANCE DEPOSIT ENCLOSED (1 Night Rate x 8% Tax)

Name/Firm

Address

City/State/Zip

Authorized

Signature Title

Credit Card - Exp

By providing a credit card you will be able to use our express check-in arrival service.

DETACH AND MAIL TO:

Ypsilanti Marriott

Eagle Crest Conference Resort

c/o Ypsilanti Reservation Center

1275 South Huron

Ypsilanti, Michigan 48197