New York State Loyal Order of the Moose Hotel by lisaturtle


									New York State Loyal Order of the Moose                                April 2-5, 2009
Hotel Registration Form
                                                                                             Holiday Inn Grand Island Resort and Conference Center
                                                                                                                 100 Whitehaven Road, Grand Island, NY 14072
                                                                                                 (716) 773-1111 / Fax: 716-773-0738 / Toll Free: (877) 472-6310
          Reservations accepted on this form only. **Please do not call the hotel directly to book your room as well.
          Please fill out only ONE reservation form per guestroom. **The Hotel will mail/email a confirmation to you.
          Only ONE Credit Card is requested per guestroom. **This card will be used as payment of room and tax.
          Check in time is 3pm. Check out time is 11am.
          Room types and special requests are on an availability basis only.

Rates:           $89.00 single/double/triple/quad                                                   Rollaways:       $15.00/day (subject to availability)
                 Rate is per room per night. Rate is subject to 13.75% tax. Tax is subject to increase without notice.

NYS Tax Exemption:        Tax exempt certificate must be submitted to the hotel with this reservation and payment to claim tax exemption.
                          Each individual must present their own NYS Tax Exempt Certificate along with this form or tax will be charged.
                          Tax exempt form CANNOT be provided upon check in or check out. No adjustments will be made.

Reservation Due Date:     Form must be received by the hotel no later than:     March 2, 2009 along with Full Payment.

Payment:         Personal checks will not be accepted at check in. If using a personal check please submit to the hotel no later than 2 weeks prior to arrival.
                 Credit cards will be charged upon receipt of reservation form.
Cancellation:    Cancellations must be received by the hotel no later than March 15, 2009 in order to receive a refund.

Reservation Information:
Primary Name on Guestroom:                                                      Arrival Date:                        Departure Date:

Telephone:                                  Address:                                                                 Email:

Type of Credit Card:                        Card #:                                                                  Exp Date:


Accompanying Guests       Roommate #1                Roommate #2                Roommate #3               Roommate #4                 Special requests
Sharing with
By signing above, the guest acknowledges that they have read and understand the terms of their reservation as indicated on this housing form. As a signee, I
authorize the Holiday Inn Grand Island Resort and Conference Center to process total room and tax charges to the credit card indicated above.

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