FOR OFFICE USE
Area: Cuarto
Receipt #:
Date:

UNIVERSITY ACCOMMODATIONS

COLLECTIVE BEHAVIOR CONFERENCE

August 19-21, 1998 (Plan A)
August 19-22, 1998 (Plan B)
August 19-23, 1998 (Plan C)
August 20-22, 1998 (Plan D)
August 20-23, 1998 (Plan E)

Please consider: University accommodations are located in Thoreau Hall, a suite-style student living complex with a shared bathroom with 2-4 other guests. Facilities provide for a clean, comfortable style of accommodations but are of a basic amenity type of facility and may not be comparable to guest expectations if they plan to stay in full service hotel or motel facility. Please complete one form for each person.

Name:____________________________________________
.............Last First MI
 Male Female (circle one)
Mail Address:______________________________________ Home Phone:_____________________
___________________________________________
City State/Country Zip
 Business Phone:__________________
E-Mail Address:____________________________________ Fax:____________________________

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Check-in date:

Check-in time:

Daily rate includes:

Accommodations in air-conditioned single or double bedrooms sharing a bathroom with 2 to 4 other guests. Includes use of the University Recreation Pool and Recreation Hall.

Included Meals:

Plan A: Dinner on August 19 (Thoreau Courtyard) & 20, Breakfast on August 20 & 21

Plan B: Dinner on August 19 (Thoreau Courtyard) & 20, Breakfast on August 20, 21 & 22

Plan C: Dinner on August 19 (Thoreau Courtyard) & 20, Breakfast on August 20, 21, 22 & 23

Plan D: Dinner on August 20, Breakfast on August 21 & 22

Plan E: Dinner on August 20, Breakfast on August 21, 22 & 23

Check-out:

PLEASE INDICATE (CIRCLE) TYPE ACCOMMODATION YOU DESIRE: SINGLE DOUBLE
Plan A: Arrive Wednesday, 8/19 Depart Friday, 8/21 Total Cost: $114.56 $ 92.56
Plan B: Arrive Wednesday, 8/19 Depart Saturday, 8/22 Total Cost: $158.02 $125.02
Plan C: Arrive Wednesday, 8/19 Depart Sunday, 8/23 Total Cost: $204.98 $160.98
Plan D: Arrive Thursday, 8/20 Depart Saturday, 8/22 Total Cost: $105.99 $ 83.99
Plan E: Arrive Thursday, 8/20 Depart Sunday, 8/23 Total Cost: $149.45 $116.45

PLEASE COMPLETE:

Amount for Plan A, B, C, D & E Double or Single: $____________________________________

Roommate Preference (when choosing a double room):_________________________________

Please make checks payable to UC REGENTS. Full payment must be received with this form in order to guarantee the reservation. Credit cards are accepted (Visa and MasterCard only).

Payment enclosed: Check____ Money Order____
Charge to my credit card:
(Visa and Mastercard only)
 Visa____ MasterCard____
Card #____________________________________ Expiration Date________________

Must have full number and expiration date for valid transaction

Name on card:______________________________________

Your name (if different from name on card)____________________________________

Signature required for charge card use. I authorize UCD Conference Housing to charge the amount shown above.

Signature_________________________________

Send completed form to:

CONFERENCE HOUSING OFFICE (CBW)
UCD STUDENT HOUSING BUILDING
ONE SHIELDS AVENUE
DAVIS, CA 95616-8712

Phone: (530) 752-8000

Fax: (530) 752-8185

E-mail: confhsg@ucdavis.edu