ACCOMMODATION BOOKING FORM Wednesday 1 September - Wednesday 8 September ABOUT YOURSELF: Surname _______________________ MR MS MRS MISS First Name _______________________ Company _______________________ (if applicable) Aussiecon Three Membership Number: _____________________ I will share my room with: _____________________ Telephone: _______________________ (include country code if applicable) Facsimile: _______________________ (include country code if applicable) Email: _______________________ Address: _______________________________________________ _______________________________________________ _______________________________________________ YOUR TRAVEL PLANS: Arrival Date: _________________ Arrival Time: ____________ Departure Date: _________________ Departure Time: ____________ YOUR CREDIT CARD DETAILS (to guarantee your hotel booking): Visa MasterCard Diners Amex Bankcard (Australia only) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiry Date: __ __/__ __ Full name on credit card ID# (Amex only) Signature: Date YOUR HOTEL PREFERENCES: Centra on Yarra ___ Holiday Inn on Flinders ___ Savoy Park Plaza ___ Terrace Pacific ___ All Seasons ___ Smoking Room ___ Non Smoking Room ___ Quiet Floor ___ Party Floor ___ YOUR ROOM PREFERENCES: Single ___ Double ___ Twin ___ All Seasons only Studio Apartment ___ 1 Bedroom Apartment ___ 2 Bedroom Apartment ___ Fax , mail or email a copy of this completed form to: Lido Accommodation PO Box 906 Rozelle NSW 2039 AUSTRALIA Telephone: +61-2-9246-9886 Toll Free: 1-800-817-339 (Australia only) Facsimile: +61-2-9818-8813 Email: lido@tpgi.com.au Only one copy of your accommodation booking form should be sent to Lido Accommodation. Whether you email, fax or post the completed form, it should only be sent once. Lido Accommodation will normally send a written confirmation before the end of the next working day in Australia. If you have provided Lido Accommodation with a fax number or an email address and have not heard from them within three working days, it would be sensible to contact them again to check to see if they received your original form. Reservation confirmations airmailed from Australia to North America or Europe will take one to two weeks to be delivered.