ARISA ROOM REGISTRATION FORM
January 16th - January 18th, 2004/center>
BOSTON PARK PLAZA HOTEL
Boston Massachusetts

ALL REQUESTS MUST BE RECIEVED BY 4PM ON JANUARY 9, 2004

Name

Address


City

State

Zip Code / Postal Code

Country

Phone with Area Code

Email


List All Occupants



Arrival Date and Time {check in after 3pm} Departure Date and Time


Room Types {Remember only a Request not a Guarantee}

Main Single Main Parlor Main Queen Main King

Main Double Excutive King Handicapped King Family Double

Junior Suite King Main King

Request for Cot or Crib {Only one per room UNLESS Parlor, Executive King or Junior Suite Rooms}
Cot how many? Crib how many?

If request on Double isn't available, add a cot to the room: Yes No

Arisia Block
Quiet Party Party Host Shabbot Smoking Dealers Row Staff