ROOM RESERVATION FORM - DOC

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					                               ROOM RESERVATION FORM
                            148th GRAND LODGE CONVENTION
                                     AUSTIN, TEXAS
                                    July 1st – 5th, 2012

All reservations must be made through this committee. The hotel will not accept reservations
from individuals, lodges, or groups.

You must return this form as soon as possible to ensure that you have a guaranteed
room. The hotel will not hold rooms after May 29.

PLEASE PRINT NEATLY OR TYPE INFORMATION

Name ________________________________ Address _______________________________

City __________________________ State ___ Zip ______Lodge&No ____________________

Phone ___________________________ No. of persons in Room ____________

         ** E-mail Address _____________________________________________**

Date of Arrival __________________ Date of Departure ___________________

                      Type of Room:    King _____         2 Beds _____
                                  The hotel is non smoking

Omni Austin Hotel Downtown, 700 San Jacinto, Austin, Texas 78701
Room Rate, Single or Double Occupancy:
                  $109.00 per night, + tax [15%] = Total $125.35 per night


The deposit ($125.35) may be made with check, money order, or credit card. It will be deducted
from your bill when you check out. Make the check payable to: Omni Austin Downtown. If you
use a credit card for your deposit, please complete the following:

Type of Card _____ # _______________________________________ Exp____

Ohio will have a Hospitality Room during the convention, see attached hours and location.


Remember: Please include your check in the amount of $35.00 per person to help cover
the cost of the hospitality room. Make this check payable to the OHIO ELKS
ASSOCIATION.


                         Send this form and your TWO CHECKS to:

                                      Michael C. Stanley
                                      10572 St. Rt. 118
                                     Van Wert, OH 45891

				
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