Wyndham Hotel and Resorts Hotel Registration Form by xoa24846


									                     Renaissance Chicago North Shore
                         Hotel Registration Form
                                  February 26-28, 2010
Group Name:   MWPHGL Mid Year 2010
Guest Name: ___________________________________________ Arrival Date: ________________

Address: _________________________________________________ Departure Date: ______________

City/ State/Zip Code: ________________________________________ Phone #: ____________________

Email: _____________________________________________

# of Rooms    Room Type                          Rate:                        # Adults     # Children
              King                               $79.00 plus 11.5% tax
              Two Double Beds                    $89.00 plus 11.5%tax

Name of Person sharing room with:_________________________________________
Special Requests:
      Connecting Rooms                  Other:
      Wheel Chair Access

Check One:
a) 1st Night deposit check enclosed: ___________________________________

b) Credit Card information: Name on card: ___________________________________________

Authorized signature_______________________________________

Credit Card #: ____________________________________________Exp. Date: ______________
When calling please ask for reservations and identify by Group Name. For reservations call: 847.498.6500

Mail or Fax this form to: Renaissance Chicago North Shore   Fax # 847.498.9896
                          933 Skokie Blvd
                          NorthBrook, IL 60062

Reservations made after January 30, 2010 will be subject to current non-group rate and
availability. Reservations must be guaranteed by a major credit card or prepayment of 1 st
night’s room & tax

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