WSC '95 Hotel Registration Form


Print out and send directly to:
Hyatt Regency Crystal City
2799 Jefferson Davis Hwy.
Arlington, VA 22202
Phone: (800) 233-1234 or (703) 418-1234
Fax: (703) 418-1289

All reservations must be received by November 10, 1995.
Room Rates: $123 Single/Double (December 1-6, 1995)

Make check or money order payable to: Hyatt Regency Crystal City

Name: __________________________________ No. of Persons: __________

Organization: _____________________________ Sharing Room with: _______

Address: ________________________________________________________

City: ___________________________________ State: ____ Zip: __________

Signature: _______________________________ Phone: (___) ____________

Arrival Date: _____________________________ Departure Date: __________

Special Requests: ___ Nonsmoking ___ Handicap accessible ___ King-size bed

Please include a credit card number or first night's deposit for a guaranteed reservation. Reservations must be canceled by 6:00 PM on the date of arrival to receive a full deposit refund.

Credit Card Number: _______________________ Expiration Date: ___________
___ American Express ___ Diners Club ___ Carte Blanche ___ Mastercard ___ Visa ___ Discover Card

Return to WSC '95 home page.