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HOTEL RESERVATION FORM <br />July 16-20,2004 [] Phoenix Civic Plaza ':~ Maricopa County .:~ Phoenix, Arizona <br /> <br /> YOU MUST REGISTER FOR THE CONFERENCE IN ORDER TO REQUEST HOTEL ACCOMMODATIONS. <br /> Please return your hotel reservation preference with your conference registration. <br /> <br /> Last Name <br /> First Name <br /> Telephone Fax <br /> Email <br /> Arrival Date: / / 2004 Departure Date: / <br /> <br /> ffi SPECIAL SERVICES (check if applicable) <br /> [] Yes, I will require special assistance. Please let us know your requirements by attaching a separate sheet of paper outlining your needs. <br /> <br />/ 2004 <br /> <br />HOTEL PREFERENCES <br />1. Indicate your first choice with a "1" Then, number other choices from "1" to "5" in the order of preferenCer tf your first choice is unavailable, a reservation will be made at the next <br /> available hotel according to your ranking. <br />2. Each reservation requires a one-night deposit at the time of booking in order to secure/guarantee reservations. Please note: A one-night deposit may be charged to your credit card by the <br /> hotel at the time the reservation is made. <br /> <br /> Single Rate Double Rate <br /> <br /> Wyndham Phoenix $114 $124 <br /> Embassy Suites Biltmore $ 89 $ 89 <br /> Ritz Carlton Phoenix $ 99 $ 99 <br /> Arizona Biltmore (Arizona B~Ttrnore rate shown includes the Resort Fee) $111 $111 <br /> (Room rates listed do not include applicable taxes currently at 12.07%) <br /> <br />Please check one of the following: <br />[] Single (one person) [] Double (two people) <br /> <br />Select your preference: <br />[] King Bed [] Double Bed (2) <br />[] Non-smoking [] Smoking <br />If you are requesting a Double room, please let us know your Roommate's Name: <br /> <br />HOSPITALITY SUITES <br />If you desire to reserve a hospitality suite, please contact the hotel directly for availability and pricing. <br /> <br />HOTEL AVAILABILITY <br />The above room rates are guaranteed until June 9, 2004, as long as there are rooms remaining in the NACo room block. After June 9, 2004, hotel room or rate availability cannot be guaran- <br />teed. Please submit your hotel reservation request as soon as possible. <br /> <br />HOTEL DEPOSIT <br />Please complete the credit card information below. We will request your room and send you an acknowledgement of your room request. Your room will not be guaranteed until proper pay- <br />ment has been received. Proper payment must be received by the hotel by June 23, 2004, or your room will be released. <br /> <br />HOTEL CONFIRMATION <br />The NACo Conference Registration Center will send you an acknowledgment within one week of receipt of this form. The hotel wilt also send you a confirmation after your credit card is <br />confirmed or payment is received. Send check payment for hotel reservations directly to the hotel. Please bring your confirmation to the hotel for prompt check-in. <br /> <br />CREDIT CARD AUTHORIZATION <br />[]visa ~ MasterCard F-American Express [] Discover <br /> <br />Card Number: Exp. Date: <br /> <br />Signature: <br /> <br />The NACo Housing Center is authorized to use the above card to guarantee my hotel reservation. I understand that one night's room charge will be blTled through this card if I fail to arrive for my assigned <br />housing at the confirmed date, or if I depart earlier than I have confirmed, unless I have canceled my reservation with the hotel at least 72 hour~ in advance, t also understand that one night's room charge may <br />be billed immedlate!y to hold my reservation. <br /> <br />PLEASE RETURN YOUR <br />COMPLETED CONFERENCE <br />REGISTRATION AND HOTEL <br />RESERVATION FORMS TO: <br /> <br />NACo Conference Registration and Housing Center <br />PO Box 12862 <br />Philadelphia, PA 19101-0862 <br /> <br />Or Fax your completed form to: (610) 328-1548 <br />On-line Registration available at: www, na¢o.org <br />Questions? Please call: (866) 844-2207 <br /> <br /> <br />