Name(s):
Affiliation:
Mailing Address:
Phone:
Fax:
Email:
I will check in on (date):
I will check out on (date):
My room will be single occupancy (1 person) at $000.00 nightly plus tax.
My room will be single occupancy (2 people) at $000.00 nightly plus tax.
I will share my room with (name):
Special Requests / Remarks:
Credit card guarantee
Number
Expiration
I will forward my check payable to Plaza Meetings at 3 School Street, Latham NY 12110
All Reservations must be received by {date}.