ICOOPMA HOTEL BOOKING FORM Please Fax Completed Form To: 780-465-8162 ICOOPMA08 Edmonton, Canada 20 -25 July 2008 HOTEL NAME: Varscona Mettera (please circle one) http://www.icoopma.org Please reserve a room for me under the ICOOPMA group booking at the ICOOPMA rate as follows. Please email me a confirmation number. Your last name (surname) First name Title (Mr., Mrs., Dr. etc) Address Your fax Your phone Your email Arrival date Arrival time Departure date Number of people in the room Credit card type Visa Mastercard Amex Credit card number for guarantee Expiry date Signature FAX THIS PAGE ONLY (Please circle one) INSTRUCTIONS Fill in the form on page one with all your details, and then fax it to the number at the top of the page (Do not use this form for reserving accommodation at the university residence) Matterra Hotel on Whyte (10 Minutes by taxi from Conference Center) Room Rates are $135/night for a standard room plus applicable taxes Email: information@metterra.com Fax: (780) 465-8174 Phone: (780) 465-8150 Toll Free: 1-866-465-8150 Varscona Hotel on Whyte (10 Minutes by taxi from Conference Center) Room Rates are $120/night for a standard room plus applicable taxes Email: information@varscona.com Tel: (780) 434-6111 Fax: (780) 439-1195 Toll Free: 1-866-465-8150