For lodging reservations at the special workshop rate, contact the Broker Inn directly:

• Call the Broker Inn at the numbers listed below, or
• Print and fax this form

•  Group Name: Arctic Workshop
•  9.7% Tax on all room charges
•  No charges for local calls

Name:____________________________________________________________________________

Address:___________________________________________________________________________

City:________________________________ State:_____________________ Zip:_______________

Daytime Phone:_____________________________________________________________________

Arrival Date:_______________________________________________________________________

Departure Date:_____________________________________________________________________

Guarantee requested with one night´s deposit or American Express, Visa, MasterCard, Diners, Carte Blanche or Discover credit card.

Card Type:___________________________ Exp.Date:____________________________________

Card Number:______________________________________________________________________

Cardholder:________________________________________________________________________

Signature:__________________________________________________________________________

Please note that reservations received after Wednesday, February 23rd will be filled on a space available basis.

You will receive written confirmation by return mail.

**Dates of room availability at special Arctic Workshop group rate.