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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
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