[PDF] Individual Attendee Hotel Reservation Form





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Hotel Reservation Form Please fill this Form only if room is required in Hotel Le Meridien Windsor Place Janpath New Delhi - 110001 Hotel Reservation Deadline- December 29 2010 Room Rent: Single Occupancy: Rs 11000 /- (inclusive of room rent breakfast and taxes) for single occupancy Airport transfers* will be charged extra



RESERVE ONLINE:

Go to thoracic.org and look for the housing

link.

RESERVE BY PHONE:

8:00 a.m. 5:00 p.m. CST, Mon Fri

1-800-967-8852 Domestic

1-847-996-5832 International callers

Please have your credit card number and your

arrival and departure dates ready.

RESERVE BY FAX: 1-847-996-5401

You may also e-mail ATS@experient-inc.com

with any inquiries, changes, or cancellations.

DO NOT submit this form via email, it must be

faxed to the number above.

Please submit room request(s) only once.

Using multiple methods risks making duplicate

reservations. Please do not e-mail this form

with credit card information. Individual Attendee Hotel Reservation Form Arrival Date: _______________________ Departure Date:_________________________

HOTEL PREFERENCE: (Refer to map @ http://conference.thoracic.org for hotels and rates.)

1._ _________________________________ 2. ____________________________________

3._ _________________________________ 4. ____________________________________CONTACT INFORMATION:

Please print clearly to avoid delays in assignment Name: ______________________________________________________________________ Registration Number (required for room request):____________________________________ Company: ___________________________________________________________________ City: ______________________ State: ____ Zip Code: ________ Country: _____________ Phone: ________________________________ Fax: _________________________________ E-mail Address: ______________________________________________________________ Acknowledgements may not be received if e-mail filters are in place. NAME(S) OF ALL OCCUPANTS SHARING ROOM, INCLUDING SELF:

Last Name First Name

1) 2) 3)

4) Maximum room occupancy is four (4) per city code.

If you wish a second acknowledgement to be sent to someone other than the contact above, please provide e-mail address:

Additional e-mail address: _______________________________________________________

ROOM TYPE REQUESTED:

King Bed 2 Double Beds

Wheelchair Accessible Other: ________________________________________________ Number of guests in room: 1 2 3 4 You must be registered prior to booking a hotel room.

Only completed forms will be

accepted.

Room types are assigned on a

first-come, first-served basis.

A hotel is

assigned in order of your preference as available or closest to event if not available.

Allow 3 business days to

receive a reservation acknowledgement. Review all information for accuracy.

If you have

not received your acknowledgement within 10 days of mailing this form, please contact the ATS

Housing Department at

ATS@experient-inc.com.

2 20 is the last day to make new reservations; however, rooms may sell out before this date.

Beginning, May

20 all reservation activity must go directly to the hotel.Deadline: , 2.Beginning , May , 20,all new reservations, revisions, and cancellations must be made directly with the hotel. GUARANTEE/CANCELLATION POLICY:

Please

identify your method of guarantee below. CREDIT CARD: Amex MasterCard Visa Discover Check Enclosed

Cancellations within 72 d tax.

Card No. ___________________________________________________Expiration Date _______/_______ Name of Card Holder____________________________ Signature ________________________________quotesdbs_dbs6.pdfusesText_12
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