Arisia '05 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 14, 2005
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:

__ Standard Single - $79   __ Standard Queen - $99       __ Deluxe King - $119
__ Standard Double - $119  __ Deluxe King - $139         __ Access King - $139
__ Deluxe Double - $139    __ Junior Queen Suite - $139  __ Jr King Suite - $139
__ 1-BR Suite - $225       __ 2-BR Suite - $295

__ Request cot (limit 2 per room, no cots in Standard Single or Standard 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.