Student Name: ______________________________
You are responsible for arranging and paying for your own accommodations. A block of rooms has been reserved at the DAYS INN University Center (address, telephone, fax, email) at a rate of $69.00 USD per night for a double occupancy room plus taxes. The hotel is 2 blocks from the conference hotel (a three minute walk). This is an excellent rate for a downtown hotel and we recommend that students stay here. You can make reservations by contacting the DAYS INN at:
1414 SW 6th Avenue
Portland, OR 97201
When making reservations, you can send email to: email@example.com, or call +001-800-899-0248 if within the U.S. or Canada, or call +001-503-484-0256 if outside the U.S. or Canada. Ask for in-house reservations and explain that you are with the International Conference on Software Engineering.
I plan to stay at the DAYS INN University Center as recommended and I would like to share a room with another student volunteer.
If you circled option 3, please answer the following two questions:
Terms: I am willing to have the Student Volunteer Committee disclose my name and email information to other applicants who are interested in sharing a room. I recognize that it is my responsibility to contact these students and to make the arrangements to share the room. I realize that the ICSE conference is not liable for any difficulties I may have due to this arrangement. I understand that the payment for all room charges is my responsibility and I must arrange to split them with whomever I share my room with.
I agree to these terms (select one) YES NO
Signature: ______________________________________ Date: ___________________
Please sign and date this form and fax it to Dr. Raffo at 001-503-725-5850.