Hotel Registration Southern California Women's Retreat February 21-23, 2003 - Irvine Marriott Hotel Please complete this form and mail to: Irvine Marriott, 18000 Von Karman Ave., Irvine, CA 92715, or call 949.553.0100 Cost of your room includes a full breakfast and tax. Single: $141.00, Double: $63.00, Triple: $50.00, Quad: $39.00 Per person, per night. Double may be one king-size bed. * * * * * * Name #1 _______________________________________________________________ Address_________________________________________________________________ City/State/Zip____________________________________________________________ Daytime Phone___________________________________________________________ Name #2 _____________________________ Name # 3 _________________________ Will arrive on _________________________ Will depart on ______________________ [ ] Check Enclosed [ ] Charge my credit card - Circle one: MC VS AX DN  CS  CD Card Number__________________________________ Ex. Date___________________ Signature_______________________________________________________________ CLASServices, Inc. Copyright 2001

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