BERKELEY LAB GUEST HOUSE

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					BERKELEY LAB GUEST HOUSE
         1 CYCLOTRON ROAD, BUILDING 23
               BERKELEY, CA 94720
       TEL:(510) 495-8000 FAX:(510) 495-8800

         RESERVATION REQUEST SHEET

LBL SPONSOR:                           LBL SPONSOR’S UNIT:


LBL SPONSOR’S PHONE #:                 LBL SPONSOR’S EMAIL:


GUEST’S CITIZENSHIP:                   GUEST’S BIRTH COUNTRY:


PARKING REQUIRED:                      ARRIVAL TIME AT LBL:


ARRIVAL DATE:                          DEPARTURE DATE:


ROOM TYPE REQUESTED:                   NUMBER OF PEOPLE:


LAST NAME OF GUEST:                    FIRST NAME OF GUEST:


MAILING ADDRESS:                       CITY, STATE, POSTAL CODE:


GUEST PHONE NUMBER:                    EMAIL ADDRESS:


CREDIT CARD NUMBER:                    EXPIRATION DATE:


    PLEASE FAX OR EMAIL THIS RESERVATION REQUEST
NOTES:




RESERVATIONS: 510-495-8000  EMAIL: berkeleylabguesthouse@berkeley.edu 



           WEBSITE: http:\berkeleyscience.org\berkeleylabguesthouse