FTCS-29 HOTEL RESERVATION FORM
                          June 15 - June 18, 1999

Please call, fax, or mail your room reservation directly to the conference 
hotel before May 17, 1999.
After this date, reservations will be accepted by the Hotel on a space 
available basis at conference rates.

                          Reservations Department
                        The Madison Concourse Hotel*
                           1 West Dayton Street
                          Madison, WI 53703, USA
                  Phone: 1-800-356-8293 or 1-608-257-6000
                            Fax: 1-608-257-5280

For the special conference rate, mention IEEE Computer Society FTCS. 
Conference rates apply from 3 days before to 3 days after the listed 
conference dates.



Name: 

___________________________________________________________________________
Last                                    First             Middle Initial

Mailing Address: 

___________________________________________________________________________
Organization                         Dept. or Mail Stop

___________________________________________________________________________
Street Address

___________________________________________________________________________
City                  State             Zip               Country

___________________________________________________________________________
Phone                   Fax                  Email

Arrival Date __________________     Departure Date__________________ 


Share Room with ____________________________________


Concourse Single  $84.00 _____ 

Concourse Double (Indicate one: __ 1 bed   __ 2 beds)  $94.00 ____

Governor's Club* Single  $114.00 _____ 

Governor's Club* Double (1 king size bed only)  $124.00 ____

Applicable Sales Tax: 13.5%

One night's deposit including applicable sales tax required to guarantee 
reservation:

Method of Payment for Deposit (Indicate one):

                           ___  Credit Card
                           ___  Check
                           ___  Money Order

Credit Card: (Indicate one):
                           ___  Amer. Express
                           ___  Carte Blanche
                           ___  Diners Club
                           ___  Discover
                           ___  Master Card
                           ___  Visa

Card Number _________________________ Expiration Date ____________

Cardholder Name _____________________________ 

Signature__________________________________

Check In Time: 3:00 PM 
Check Out Time: Noon

Deposit refunded if notice is received prior to 3:00 PM on the arrival 
date.

*For more information, see http://www.concoursehotel.com.