H o t e l R o o m R e s e r v a t i o n F o r m

AAHM Conference

01-04 May 2003

 

Name: ___________________________________________________________________________________________

Company: _____________________________ Starwood Preferred Guest number: ___________________________

Address: ___________________________________________________________________________________________

City: _____________________________ State/Province: ______________________________________________

ZIP/Postal: _____________________________ Country: ____________________________________________________

Telephone: _____________________________ Facsimile: ___________________________________________________

I intend to share my room with: _____________________________________________________________________________

R o o m R e s e r v a t i o n I n f o r m a t i o n

Arrival date: ________________________________ Departure date: __________________________________________

Hotel Check-in time is 16:00 (4:00 p.m.) Hotel Check-out time is 12:00 (noon)

Please indicate your guestroom preferenceAll requests are subject to availability.

___ Room for a non-smoker ___ Room for a smoker

___ Room with (1) one bed ___ Room with (2) two beds

___ Guest Office Room (additional charge of $20.00USD) ___ Junior Suite (additional charge of $50.00USD)

Special Hotel Room Rates – The discounted group room rates quoted below are offered on a space available basis until 10 April 2003. Reservations requested after this date will be subject to the hotel’s prevailing rates. (Room rates do not include 12.45% combined taxes.) If you will be driving, a limited number of valet parking spaces are available at the rate of $32.00USD per evening.

Please indicate your preference:

___ Room for (1) one person-$223.00USD ___ Room for (2) two people-$233.00USD

___ Room for (3) three people-$258.00USD ___ Room for (4) four people-$283.00USD

___ Please indicate here if someone in your room requires special accommodations due to a physical disability.

R o o m R e s e r v a t i o n G u a r a n t e e I n f o r m a t i o n

All reservations must be guaranteed for arrival. Should you wish to use a credit card to guarantee your reservation please complete the following. If you would rather use a cheque or money order to secure your reservation, please mail this form along with payment to the address below. If you need to cancel your booking, please do so prior to 18:00 (6:00 pm) hotel time one day prior to your arrival to avoid being billed one evenings room and taxes.

Type of credit card: __________________________________________________________________________

Credit card number: _____________________________________________________ Expiry: ______________

Cardholder’s Signature: __________________________________________________________________________

 

1 0 H u n t i n g t o n A v e n u e , B o s t o n , M a s s a c h u s e t t s 0 2 1 1 6 U S A

North America: Reservations Facsimile: 617/424 7502 || Reservations Telephone: 888/627 7216

Abroad: Reservations Facsimile: 011/1 617 424 7502 || Reservations Telephone: 011/1 617 351 7788

 

 

This page is part of the WWW site of the UAB Department of Anesthesiology http://www.anes.uab.edu/