Arisia '04 Hotel Registration Form

Print this form and mail it to:
    Reservations
    Boston Park Plaza Hotel
    64 Arlington Street
Boston, MA 02116

Fax to:
617-423-1708


ALL REQUESTS MUST BE RECEIVED BY 4PM ON JANUARY 9, 2004
Please read all hotel information <hotel.html> before filling out this form.


Name _______________________________________________________________________


Sharing with (List all occupants)__________________________________________________


Arrival date (if different for shares)_____________________________________________


Address ____________________________________________________________________


City __________________________________ State ______ Zip ___________________


Phone _______________________ Email ________________________________________


Credit Card # _____________________________________________ Expiration__________

__ AmEx    __ Visa    __ MasterCard    __ Discover    __ Diners Club


Signature __________________________________________________________________


Arrival Date ________________ Time ________________ (Check-in is after 4PM)


Departure Date ________________ Time ________________ (Check-out is before 12:00 Noon)


Room Type (This is only a request, not a guarantee) '1' for first choice, '2' for
second choice:

__ Main Single - $79     __ Main Queen - $99         __ Main King - $119
__ Main Double - $119    __ Executive King; - $139   __ Handicapped King - $139
__ Family Double - $139  __ Junior Suite - $139      __ 1-BR Suite - $225
__ 2-BR Suite - $295

__ Request cot (limit 2 per room, no cots in Main Single or Main Double)

__ Request crib

If request of Double is not available, please add a cot to my room: __yes   __ no

Arisia Block (pick one)
__ Quiet    __ Party    __ Party Host    __ Shabbat    __ Smoking    __Staff

By requesting a reservation attendee agrees to conditions and limitations listed in
Hotel Reservation Policies.