Asilomar Use Only

ASILOMAR CONFERENCE GROUNDS

HOUSING REGISTRATION FORM – DUE 11/20/01

TYPE OR PRINT CLEARLY. ONE FORM PER PERSON OR FAMILY

Name of Conference: AMERICAN DAIRY SCIENCE ASSOCIATION DISCOVER CONFERENCE #537325

Arrive: JANUARY 20, 2002 Depart: JANUARY 23, 2002

Last Name________________________________________ First Name___________________________________________________

Company ____________________________________________________________________________________________________

Address______________________________________________________________________________________________________

City_______________________________________________________ State ___________ Zip ______________________________

Business phone _____________________________________ Home phone _______________________________________________

I am a male ________ female ________ Fax # __________________________________________________________

HOUSING RATES & INFORMATION – FULL TIME PARTICIPATION ONLY

Rates are for three (3) night(s) and include all meals beginning with dinner on the first day and ending with lunch on the last day. Check-in -- 3PM Check-out -- 12noon

Housing Type: Please indicate first and second choices. Rooms are assigned on a first come, first served basis. If your room choice is not available, you will be reassigned and the appropriate room charge will apply.

RATES ARE PER PERSON & INCLUDE HOUSING, TAX AND MEALS FOR COMPLETE CONFERENCE

Single Room Double Room 3 or 4 adults Youth Rate

(per person) (per person) (per person) (Ages 3-17)

Historic $398.58 $268.17 N/A $176.22

Deluxe $487.71 $301.17 $239.31 $176.22

Housing 1^st Choice_________________ 2^nd Choice_________________

Please assign a roommate for me______ I will share a room with____________________________________________________

(Your roommate’s registration must be received 60 days prior to arrival or another roommate will be assigned)

Vegetarian ______ Disability access required ______ Disability__________________________________________

To secure your room reservation for above dates, mail this form with a check for full payment as soon as possible or fax with Credit Card #. If you need additional information about Asilomar or reservations before or after conference call 831-372-8016

Asilomar Conference Grounds

P.O. Box 537

Pacific Grove CA 93950

Phone: (831)372-8016 FAX (831 ) 642-4261

PURCHASE ORDERS and TELEPHONE RESERVATIONS WILL NOT BE ACCEPTED!

FAXED RESERVATIONS ACCEPTED ONLY WITH CREDIT CARD PAYMENT. PLEASE FAX ANY CHANGES OR CONCERNS.

Method of Payment: ___ Check (Payable to DNPS at Asilomar)

___ Credit Card (Visa , Master Card or American Express only)

Visa ___ Master Card ___ Am. Express ___ Card # _____________________________________________ Expiration _______

Card Holder Signature ___________________________________________________________

Asilomar Policies: Asilomar will bill your credit card upon receipt & confirmation will be sent later. Any Housing concerns fax to above number.

1. No smoking allowed in sleeping or meeting rooms. Also there are no TVs or phones in the rooms. You are encouraged to bring cell phones.

2. All rates are for full time participation and include housing, tax and meals.

3. Any charges accrued with the processing of foreign checks or sending faxes overseas will be the responsibility of the conference attendee.

4. All cancellations are subject to a $25 per person processing fee. Cancellation after November 20, 2001 is subject to forfeiture of all fees if all rooms at Asilomar are not resold. In the case of cancellation on the day of arrival or early departure, all fees are forfeited.