Hotel Reservation Form
ASP-DAC 2000
January 25 - 28, 2000, Yokohama Japan

Deadline: Dec. 22, 1999
Note: You should send this form by postal mail or fax when using 
your card for payment. 

 (Please type or write in block letters. )
Full Name: ( )Prof. ( )Dr. ( )Mr. ( )Ms.
Family Name: _______________, First Name:______________ 
Middle Initial:	_____
Affiliation:___________________________________________
Mail Stop:____________________________________________
Dept./Div.:__________________________________________
Mailing Address:______________________________________
City:_______________________ State:___________________ 
Zip:___________Country:___________
 Phone:_____________________ Fax:__________________
E-mail:_____________________________________________
Please remember to include your country and/or city code for 
Phone/Fax numbers.
Name of Accompanying Person(s), Family Member(s) if any:
  ( )Mr.  ( )Ms.
Family Name: ____________, First Name:__________ 
Middle Initial:__________________
Arrival Schedule: 
  Arriving at _____________(airport) on ________(date) 
  by _____________(flight number)

Hotel Accommodations:
Please select 2 hotels in order of preference and enter the name of 
the hotel.

1st choice:____________________________________

2nd choice:___________________________________

Room Choice: ( )Single  ( )Twin

Period of Stay: Check-in _____ Check-out ______ for __ nights

Amount of Deposit(1): 20,000yen x 1 room = 20,000yen

Remittance: Grand Total: (1) + 500yen(handling charge) =
                                                                                                                 
                                            _________yen

( )Credit Card:( )VISA ( )MasterCard ( )Diners Club ( )AMEX

    Card Number:_______________________________________
    Card Holder's Name :_______________________________ 
                        Expiration Date:_______________
    Authorized Signature:______________________________

( )Bank transfer
  I (We) have remitted the above total on _____________ (date)
    by the name of______________________ (name of remitter)
    through _________________________ (name of bank) 
    to: 
    Name of Bank:  Daiichi Kangyo Bank, Hibiya Branch
    Account Name:  NIPPON EXPRESS CO., LTD. 
                              TOKYO TRAVEL BRANCH 
       (Please add Message:ASP-DAC2000)
    Account number:  1488074
   *We would appreciate your sending us a copy of the bank 
   receipt for your remittance to avoid the possible confusion.

( ) Enclosed a bank check payable to the order to the 
     NIPPON EXPRESS CO., LTD. 

Date:_______________ Signature:________________________
      (This application will become valid upon receipt of  
       confirmation from NIPPON EXPRESS CO., LTD.)