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Guest Information (please print or type) |
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Guest name: |
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Name of Convention/Group: PLANC 2000 |
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Street Address: |
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City |
State |
Zip |
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Home Phone Number: |
Work Phone Number: |
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Travel Dates, Space Requirements and Preferences |
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Arrival Date: |
Month |
Day |
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Departure Date: |
Month |
Day |
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Number of Rooms: |
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Preferred Bed Type (circle one) |
No Preference |
King |
Queen |
Double |
Single |
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Preferred Number of Beds (circle one) |
1 2 No Preference |
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Smoking Preference: |
Smoking Non-Smoking No Preference |
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Please circle your preferred option |
Garden |
Regency Tower East-Garden |
Royal Palm Salon Tower |
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Single (one person) |
$119 |
$129 |
$129 |
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Double (2 persons) |
$119 |
$129 |
$129 |
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Triple (3 persons) |
$139 |
$149 |
$149 |
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Quad (4 persons) |
$159 |
$169 |
$169 |
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Check in: 3 pm Check out: 11 am |
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Payment Method |
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Type of Credit Card (circle one) |
Visa |
MasterCard |
American Express |
Discover |
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Card Number: |
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Expiration Date: |
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Exact Name on Credit Card: |
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