Please return form by December 31 2010

Your name:
Mailing Address:
City: County/State/Province:
Postal code: Country:
Your email address:

Room type (check one):
Single Double Twin

Nights (check all that apply):
Friday Saturday Sunday

If you have a partner or sharer for a twin or double room, please give us his/her name:

If you need us to find you a sharer (we will look for same sex-sharers only!), please tell us the following about yourself:
Male Female
Smoker Non-Smoker
Late night filker? Yes No

Please use the space below to indicate any special dietary (or other) needs you may have, and (if necessary) notes about filkers with whom you could/couldn't share a room:

Your address and email address will be provided to the hotel and used by Crescendo to contact you regarding your booking.