TCLT3 Room Reservation Form

Last name First name
Chinese name (characters)

Gender Male Female

Status Presenter Non-Presenter

Registered for Both Conference & Workshops Conference only Workshops only

E-mail address Daytime phone
Mailing address

Date and time of Arrival

I am a smoker non-smoker

Room Options (Choose One)

I want to take a room for single-occupancy ($55/night)
I want to take a suite for me and my family member (two people for $110/night)
I want to share with someone (two people for $88/night, $44 each)

Sharing Preference

Please pair me with someone I have a roommate already (see below)

Specify your roommate information and any additional questions here:

Thank you for your reservation.