Please make a copy of this form for your records
Conference Dates: August 19 - 23, 1995
Location: University of Victoria
Name: (first) _______________ (last) _______________
Organization: ____________________________________
Address: _____ (Home) _____ (Business)
_____________________________________(suite number/street/RR#)
_____________________________________(city)
___________________ (province/state) __________ (postal/zip code)
___________________ (country)
Telephone: (day) _________________ (evening) _________________
Fax: _______________
Arrival date: _________________ Departure date: ________________
Number in party: _____ # single rooms: _____ # twin rooms: _____
Housekeeping unit ____________
Deposit enclosed: $__________
MasterCard _____ Visa _____
Account #: ______________________________ Expiry Date: ____/____
Authorized Signature: ___________________________ Date: ____________
Please note: A reservation received without a deposit is tentative and is held only as long as space is not needed for a guaranteed reservation. A reservation is guaranteed when a deposit of $20.00 (per person) is received. The room(s) will be held for, and the deposit applied against, the night of the stated arrival date. The room(s) will be cancelled without a refund if not picked up by 11:00am the following day.
Residence Rates
(includes breakfast)
Single: $36.95 CDN (incl tax)
Twin: $51.65 CDN (incl tax)
Housekeeping Units (does not include breakfast)
Single: $64.35 CDN (incl tax)
Additional Single Room Each: $17.55 CDN (incl tax)
Use of Kitchen Facilities per day: $10.70 CDN (incl tax)
Mail or fax this form directly to:
UVic Housing, Food and Conference Services
University of Victoria PO Box 1700
Victoria, BC, Canada V8W 2Y2
Phone: (604) 721-8396; Fax: (604) 721-8930 (open 24 hours during summer)
Mail your comments and questions about these web pages to rowena@softwords.bc.ca