Balticon 34 Hotel Reservation Form

Friday April 21st thru Sunday April 23rd 2000

The Baltimore Omni Inner Harbor Hotel
101 West Fayette St
Baltimore, MD 21201
410-385-6700 or 800-843-6664

Name: ______________________________________________________________________

Address: ___________________________________________________________________

____________________________________________________________________________

City: ____________________________ State: ______ Zip: ______________________

Phone: (______) ___________________

Arrival Date:   April ______ 2000      Departure Date: April ______ 2000

Room Type: ______________________      Smoking or Non-Smoking (circle one)
                (bed type)

To guarantee your reservation the hotel requires (choose one): 

[ ] First night's deposit.  Make check or money order payable to:
    "Omni Inner Harbor Hotel". ($113 + 12.5% Hotel and %5 Sales tax)

  - or -

[ ] Credit card guarantee.  Your credit card will not be charged until
    the first night of your reservation.

        [ ] VISA        [ ] Discover            [ ] Diners
        [ ] MC          [ ] American Express    

        Card # __________________________  Exp Date: ____________


Signature: _________________________________________ Date: ______________

Cancellations must be received 72 hours in advance.