• To book a room at Coronado Residence Hall, please provide the following contact information:

First Name and  Middle Initial
Last Name
Title
Sex	Male Female
Organization
Address (line 1)
Address (line 2)
City, State and zip code
Country
Phone number
Email address

• Please provide the following room request information:

Single Occupancy Double Occupancy (With known roommate) Double Occupancy (Need roommate)

... sharing a room with

Date of Arrival

May  , 2004

Date of Departure

           May , 2004

 

IMPORTANT INFORMATION, PLEASE READ CAREFULLY: In order to streamline the check-in process and to avoid long lines, you are STRONGLY encouraged to prepay your dorm room in full by check or money order. SORRY, NO CREDIT OR DEBIT CARDS. The room charges are Number of nights Single occupancy Double occupancy 1 US$ 27.00 US$ 38.00 2 US$ 54.00 US$ 76.00 3 US$ 81.00 US$ 114.00 4 US$ 108.00 US$ 152.00 5 US$ 135.00 US$ 190.00 6 US$ 162.00 US$ 228.00 Reservations will be confirmed upon receipt of a check or money-order for the FULL amount made out to: APS-DAMOP2004 c/o Regina Heitzer-Momaday, 5541 E. Shadow Ridge Drive, Tucson, AZ 85750 In addition, a separate check (or cash) for a refundable key deposit of US$ 35 is required. This check will not be cashed, and will be refunded upon return of your residence hall  keys at check-out.   Final deadline for receipt of payments and deposits: April 24, 2004   All refunds will be assessed a $10 cancellation fee regardless of the reason. No room refunds after May 3rd, 2004.   Questions, problems? Please contact Regina Heitzer-Momaday, conference coordinator, email reginah@dakotacom.net