ORYCON 19 HOTEL RESERVATION FORM

Mail to:
Doubletree Hotel Portland-Columbia River
1401 North Hayden Island Drive
Portland, Oregon 97217

or call
503-283-2111

NAME __________________________________________________________

ADDRESS _______________________________________________________

CITY/STATE ____________________________________________________

ZIP/POSTAL CODE ____________   COUNTRY ________________________



ARRIVAL DATE _______________   DEPARTURE DATE _________________

ARRIVAL TIME _______________  (Arrivals after 6 pm must be guaranteed.)


CREDIT CARD INFORMATION
[Visa, Mastercard, American Express, Discover, Diners Club]

CARD # _____________________________________  EXP. DATE _______

SIGNATURE _____________________________________________________


OryCon 19 room rate is $83 (plus 9% tax) for up to four people 
($15 per additional person after those four).


PLEASE MARK YOUR CHOICES:

BEDS: [ ] ONE [ ] TWO [ ] ROLLAWAY ($15) [ ] NON-SMOKING [ ] SMOKING [ ] QUIET WING [ ] PARTY WING (INTERSTATE ONLY) Check in time is 3 pm. Rooms must be guaranteed to be held past 6 pm on arrival date. All unreserved rooms will be released on October 16, 1997. After that, rooms are subject to availability but remain at the $83 rate.


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