HOTEL BOOKING FORM.

PLEASE FAX/PHONE DIRECTLY TO HOTEL

The 9^th International Congress on Combustion By-Products and their Health Effects

With special attention to Mexico and Cross border Issues.

June 12-15, 2005

Loews Ventana Canyon Resort

7000 N. Resort Drive

Tucson, AZ 85750

Phone: 520-299-2020 ext. 5736

FAX 520-299-4151

Rate: $99/night

YOU MUST REGISTER BEFORE MAY 23^RD TO RECEIVE CONFERENCE RATE ($99 plus tax, valid also three days before and three days after conference dates)

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Address_________________________________________________________________

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Number of guests: Adults_____ Children_____

Guarantee Reservation:

Credit Card (Amex; Visa; MC:Other)_______________________________

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Exp. Date________________

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