HOTEL RESERVATION FORM

Glidden House Inn

1901 Ford Drive , Cleveland Ohio 44106

phone: 216-231-8900 fax: 216-231-2130
e-mail: reservations@gliddenhouse.com

GUEST INFORMATION :

Last Name:_________________________ First Name:______________________________

Address:______________________City________________State_______Zip________

Phone (day)_________________(evening)_________________fax_________________

ARRIVAL DATE:_______DEPARTURE DATE:________ NO. OF GUEST(S):____

Program attending:_International  Workshop  on Seismic  Stability  of Tailings  Dams

Special request:_________________________________________________________

Glidden House will try to honor your request, however, due to the sell status of the hotel we may not always be able to guarantee.

Room and tax is paid directly by Case Western Reserve University . Other charges should be paid by individual guest.

CHECK IN TIME IS 4:00 PM / CHECK OUT TIME IS 12:00.

CANCELLATION POLICY: 24 HOURS PRIOR TO ARRIVAL OR YOU WILL BE BILLED FOR ONE NIGHTS ROOM AND TAX.

                                                PLEASE RETAIN A COPY OF THIS FOR YOUR RECORDS

CONFIRMATION FROM GLIDDEN HOUSE INN:

Confirmation #:_______________                              RATE: ______________________