ICDM 2001 Hotel Reservation Form Group Name: IEEE Computer Society ICDM 2001 Please include one night's deposit with this form.

Please mail or fax this form with check or credit card information to:

Doubletree Hotel, San Jose
Attn:  Reservations Department
2050 Gateway Place
San Jose, California 95110, USA

FAX +1-408-437-2883

Name:__________________________________________________________________
     Last/Family                      First              Middle Initial

Affiliation:___________________________________________________________

Address:_______________________________________________________________

City:___________State/Province:_________Zip:____________Country:_______

Phone:___________________________________Fax:__________________________

Please indicate the type of room you prefer:

(  ) Single (one bed):   US$159.00
(  ) Double (two beds):  US$159.00

(  ) Smoking        (  ) Non-Smoking

Arrival Date: _______________Time:______________ Flight:_____________________

Departure Date: ________________Time:______________ Flight:__________________


Deposit:

Credit Card:    (  ) MasterCard   (  ) Visa  (  ) American Express
                (  ) Diners Club  (  ) Discover

Credit Card Number: _______________________________Expiration Date:__________
(Please type or print clearly)


Signature:_____________________________________________ Date: _______________