Please print out this page, complete the form and return by August 28, 1999, to:

Gaithersburg Hilton Hotel
620 Perry Parkway
Gaithersburg, MD 20877
(301) 977-8900
or
Fax to:
(301) 869-8597

last name___________________________

first name___________________________

title________________________________

organization_________________________

address_____________________________

room or mail code_____________________

city, state, zip_________________________

country______________________________

telephone____________________________

facsimile_____________________________

e-mail_______________________________

non-smoking__________________________

services______________________________

Rate: $94 single or double. All reservations must be received by August 28, 1999. Please apply 12% tax to the above rate. All reservations must be guaranteed with a one night deposit. Reservations must be canceled 24 hours prior to the arrival date for a refund.

Arrival Date:__________________________

Departure Date:________________________

Form of Payment:

___ Check enclosed, payable to:Gaithersburg Hilton Hotel Checks from outside the U.S.A. should be written on a U.S.A. bank.

Card Type_____________________________

Card No.______________________________

Expiration Date_________________________