HOTEL RUSSELL Russell Square, London WC1B 5BE Telephone: +44 20 7837 6470 Fax: +44 20 7837 2857 RESERVATION FORM Company / Event Name: USPTO SPECIAL ACCOMMODATION RATES Dates: Sunday 25th February – Sunday 4th March 2001 Deluxe Single Room £120.00 Deluxe Double/Twin Room £140.00 Executive Single Room £140.00 Executive Double/Twin Room £160.00 Semi Ambassador Single Room £160.00 Ambassador Double Twin Room £180.00                  The above rates are inclusive of Service, VAT and Full English Breakfast @ 17.5% only. Please fax your bookings to our Reservation Department early in order to avoid disappointment. Direct Facsimile (00 44) 0207 520 1835 E-mail Address: Reservations.Russell@Principalhotels.co.uk If you require a room with Internet access please indicate so on the form below  Date of Arrival: ______________________________________________________________ Number of nights: ____________________________________________________________ Name: ______________________________________________________________________ Company Name: ______________________________________________________________ Address: ____________________________________________________________________              _____________________________________________________________________ Telephone: ______________________________ Fax: _______________________________ NOTICE: All reservations are held until 1400 hrs on the day of arrival unless previously guaranteed in writing or by Credit Card. To guarantee your reservation, please quote your credit card number. In the event of non-arrival, you will be charged for the first nights accommodation if you have not previously canceled the room. Check-in times are from 14:00 hrs and checkout times until 12.00 noon. Should you anticipate arriving after 2.00PM please guarantee your room for late arrival with a credit card number. Please place checkmark in appropriate box: ___Visa   ___American Express   ___MasterCard   ___Diners Club   ___Other Credit Card number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Cardholders Signature: ___________________________ Expiration Date: _______________ Name: ______________________________________________________________________ Invoice address: ______________________________________________________________ Telephone Number: ____________________________________________________________ We are holding an allocation of rooms for the above function on a first come first served basis. All Reservations are strictly subject to availability, and completion of this booking form will not automatically mean confirmation of your Reservation until a completed Reservation Form has been returned directly to you. ____________________________________________ FOR HOTEL USE ONLY Reservation No:__________ Confirmed: Unavailable: Date: _________ Hotel Ref.: __________________________