UAI95 Accomodation Form

Family name:           First name:

The Conference has special agreaments with the following hotels:

[ ] Delta Montreal              $ 99 single
[ ] Delta Montreal              $ 99 double
[ ] Best Western                $ 72 single
[ ] Best Western                $ 77 double
[ ] University Residences       $ 37 single (shared bathrooms)

Rates are per night and are in Canadian Dollars.

Nights:     From:            To:

IMPORTANT: To be considered, this form must arrive before July 1st, 1995,
together with your registration form.