WOFE-2002 Hotel Reservation Form
	If special assistance for the hotel reservation is needed, contact Professor Shepard Salon, Local Chair, Department of Electrical, Computer, and Systems Engineering, JEC, Rensselaer Polytechnic Institute, Troy, NY 12180, USA phone: (518) 276 8296 e-mail: salons@rpi.edu
	Hotel Information PLEASE FILL THE FORM AND FAX TO THE HOTEL
	TBA
	Date of arrival		Date of departure
	Credit card (visa or master card)		Credit card number
	Expiration date		Your signature
	Please check one box
Single room		Double room		Double room and bed for child
	Personal Information
	First name
	Last name
	Street address
	City
	State/Province
	Zip/Postal Code
	Country
	Phone
	E-mail