www.caribbeancoconut.com

Please submit this form before July 16, 2004.

The Hotel is pleased to confirm the following, net, non-commissionable, special rates for your meeting: $135.00.
The above quoted room rates are also subject to any applicable city, country, state or federal taxes that may apply at the time of room occupancy. Currently, the Hotel tax is 11%, Hotel tariff is 11%, bellmen is $4.75 per person, round trip, and maids $1.00 per person, per day. Check-in time is 4:00 PM and Check-out time is 12:00 PM (noon). If you may have any additional questions or requests feel free to state it in the Special Requests box bellow.

Please provide the following information:

Full Name
Title
Company Name
Territory
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
Fax
Email

Check-In Date		MM/DD/YY
Check-out Date		MM/DD/YY

Room #1:

Non Smoking Smoking
Guests sharing this room:
Name: Age:
Name: Age:
Name: Age: *
Name: Age: *

Room #2:

Non Smoking Smoking

Guests sharing this room:

Name: Age:

Name: Age: *
Name: Age: *

* Additional room charges may apply.

Special Requests, or Preferred Topics for the Conference: