The University of Manitoba
                 ACCOMMODATION RESERVATION FORM
   Canadian Society for Brain, Behavior, and Cognitive Science
                        June 19-21, 1997
Please print or type:

NAME:
     (First Name)             (Surname)

NO. & STREET:                           CITY:

PROV/STATE:    POSTAL/ZIP CODE:         PHONE: (  )

ARRIVAL DATE/TIME:                      DEPARTURE DATE:

In the event of cancellation, your payment will be refunded less
first night and a $10.00 cancellation fee.  All taxes are
included in the rates quoted.  ALL CHEQUES MUST BE IN CANADIAN
FUNDS.

_____ night(s) single at #33.63 per night              = $

_____ night(s) double at #25.08 per person per night   = $

                                        TOTAL          = $

To assist with room assignments, indicate: Male ___ Female ___

     Sharing accommodation with:
     (Note: a roommate will be assigned, if one is not indicated)
     Do you require special accommodation because of physical
          limitations?  Please specify:

Please note:   All rooms are supplied with bedding and towels.
               Shared washrooms are centrally located to sleeping
                    areas.
               The residences are not air-conditioned.
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PAYMENT INFORMATION: send your cheque or money order to: The
University of Manitoba in Canadian Funds or indicate your choice
of credit card.  Faxed forms require a credit card authorization.

I authorize payment of accommodation $_______ by ___ VISA
                                             or  ___ MASTERCARD

_________________________________ Expiry Date: ________________
complete card no.                                 month/year

_________________________________________________________________
cardholder's signature                  date signed
****************************************************************

     Payment MUST BE IN FULL and postmarked no later than
midnight May 19, 1997.  Please send this Request for
Accommodation form to the address or fax number below.
     The University of Manitoba, Special Functions Department
     Room 230, University Centre
     Winnipeg, Manitoba  R3T 2N2 CANADA
     Tel. (204) 474-8337, Fax. (204) 261-1735
                        GST R# 119260669