Hotel Room Reservation Form –2008

 

CLARION HOTEL & CONFERENCE CENTER

 

Name                                                         

School                                                                           

Address                                                                        

City                                                   State                     ZIP                      

 

Office Phone                                               Home Phone                           

 

Arrival Date:                                               Time:                   

Departure Date:                                          Time:                   

(To Receive Convention Rate Reservation must be received by 4/1/07)

 

___ Single (1 person) $93       ___ Double (2 people) $113

                                                ________________________

                                                (Name of person sharing room)

__ Check Enclosed

 

Credit Card

          ___ American Express            ___ Diner

          ___ Carte Blanche                 ___ VISA

          ___ MasterCard                     ___ Discover

          ___ Clarion Hotel Credit Card

 

Credit Card No.                                                            

Expiration Date:                     

I understand that I am liable for one night’s room and tax, which will be deducted from my deposit or billed through my credit card in the event that I do not arrive or cancel on the arrival date indicated. Reservations must be accompanied by a deposit or an accepted credit card number and signature.

 

For reservations or cancellations, please call direct (502) 491-4830

Signature                                                     Date                              

 

Mail this form and payment to:      Clarion Hotel  Reservations

                                                          9700 Bluegrass Parkway

                                                          Louisville, KY 40299