NANOTUBE-99 
                    HOTEL REGISTRATION FORM
                       July 24-27, 1999

            East Lansing Marriott at University Place
                       300 M.A.C. Avenue
                  East Lansing, Michigan 48823
             Phone: 800-646-4678; Fax 517-337-5001


Room Rate: $84 plus 11% tax per night 
          ($124 + tax for reservations made after June 22)

PLEASE COMPLETE ALL INFORMATION and fax to 517-337-5001:

Last Name: _______________________    First Name: ____________________________

Address: _____________________________________________________________________

______________________________________________________________________________ 
City                      State                 Zip                   Country

Phone: (_______)_________________         Fax ( ________) ____________________

Arrival Date: __________ Arrival Time: __________ Departure Date: ____________
[ ]Request complimentary pickup at Lansing airport:
   Airline and Flight no.__________

Number of Persons: ____  Sharing Room With: __________________________________
Circle One:      Smoking                  Non/Smoking
Circle One:      One King-size bed        Two double beds

A one-night deposit is required and must accompany this request for a 
reservation to be made.  Please indicate type of payment below.

[ ] Enclosed is a check or money order drawn on a US bank for $ _________ 
[ ] Credit Card Information authorizing my reservation 
    to be charged in the amount of $_________

Circle type of Credit Card: AmericanExp.  Visa  MasterCard  CB/Diners  Discover

________________________       ___________________________   ____________
Name of Card Holder            Credit Card Number            Expiration Date

Signature: _________________________________   Date:______________

Failure to cancel your reservation 24 hours prior to arrival will 
result in forfeit of deposit.