OMNI CHARLOTTESVILLE HOTEL 235 West Main Street Charlottesville, VA 22902 434-971-5500, ext. 40 (Reservations) Fax: 434-979-4456 Alternate Fax: 434-817-6493 Thank you for choosing the Omni Charlottesville Hotel. We look forward to serving you. In making your reservation, please 1) enclose a check or money order covering the first night's stay, or 2) send us the entire number of one of the following credit cards with expiration date: American Express, Discover, Diners Club, Visa, or Master Card. Special requests, i.e., room/bed types, etc. cannot be guaranteed; however, every effort will be made to accommodate your request. Check-in time is 3:00 PM. Check out time is 12:00 noon. Reservations must be guaranteed with one of the above. * Event: UVA Department of Astronomy Dates: May 31, 2003-June 4, 2003 Rates: Single Occupancy: $66.00 Double Occupancy: $81.00 plus tax The hotel must receive reservation requests no later than March 1, 2003 to be assured of accommodations at the above group rate. Reservations requested after the cut-off date are subject to availability. Please apply 9.5% sales tax to the above rates. *Deposits will be refunded only if proper cancellation notification is given 48 hours prior to arrival. Name (print)__________________________________Phone(____)__________________ Address ________________________________________________________________ City _________________________ State __________ Zip__________ Country _______________________ _____ Smoking _____Non-Smoking Please reserve ________no. of rooms for _______ people for arrival on____________ Depart on ______________ Names of people sharing accommodations_______________ ___1Person, 1Bed ___2Persons, 1Bed ___2Persons, 2 Beds ___3 Person, 2 Beds ___4Persons, 2Beds Rollaway bed available on request prior to arrival @ $15.00/bed ____Check or money order enclosed ____American Express ____Discover ____Diners Club _____Visa ______MasterCard Credit Card Number _____________________________________________Exp. Date_______ Amount $______________ I authorize the Omni Charlottesville Hotel to charge my account for one night's deposit and all applicable taxes. ______________________________ Signature