Housing Deadline: July 11, 2017
Name __________________________________________________ _______________________________________ _________________ (Last) (First) (Middle Initial) Organization _______________________________________________________________________________________________________ Street Address _________________________________________________________________________________________________________ City ______________________________________ Country:
USA
Canada
State/Province ______________
Zip Code ___ ___ ___ ___ ___ - ___ ___ ___ ___
Other ________________________ Email Address _________________________________________
Phone: _________________________________________________
Fax : ________________________________________________
*If you are attending an associated group meeting, please list your group affiliation______________________________________________
RESERVATION INFORMATION (Your sleeping room confirmation will be emailed if an email address is provided)
Arrival Date: ______/______/17 2nd
Choice:
Departure Date: ______/______/17 1st Choice: _______________________________________
__________________________________________
Accommodations: Single (1 person – 1 bed) Double (2 people – 1 bed) Double/Double (2 people – 2 beds)
3rd Choice:
_______________________________________ Special Requests: ADA Room ! Crib Roll Away Bed
Triple (3 people – 2 beds) Quad (4 people – 2 beds) Suite
Please explain Special Requests: ________________________________________________________________________________________________________
DEPOSIT Card Number: __________________________________________________________________________
Expiration Date: _______________________
Name as printed on card: _________________________________________________________________
American Express
Discover
Signature: _____________________________________________________________________________
MasterCard
Visa
TO MAKE A RESERVATION Online: www.avmaconvention.org By Telephone: Hours: 8:00am - 6:30pm (Central Time)
By Fax: Use this Housing - FORM
Ph: 888-295-4523 Ph: 972.349.5813 Fax: 972.349.7715
U.S. and Canada International U.S., Canada and International
Hours: 24 Hours – 7 Days a Week • • •
A one night room/tax deposit (equal to the cost of one night’s stay plus tax) is due at the time of reservation. If you do not receive a reservation confirmation within three (3) business days - Please call Wyndham Jade. Policies on reservation cancellations and arrival/departure changes vary by hotel. Refer to your reservation confirmation for specific details. For Deposit Refunds: Call Wyndham Jade at Ph: 888-295-4523.
Housing Deadline: July 11, 2017
USA
Canada
State/Province ______________
Zip Code ___ ___ ___ ___ ___ - ___ ___ ___ ___
Other ________________________ Email Address _________________________________________
Phone: _________________________________________________
Fax : ________________________________________________
*If you are attending an associated group meeting, please list your group affiliation______________________________________________
RESERVATION INFORMATION (Your sleeping room confirmation will be emailed if an email address is provided)
Arrival Date: ______/______/17 2nd
Choice:
Departure Date: ______/______/17 1st Choice: _______________________________________
__________________________________________
Accommodations: Single (1 person – 1 bed) Double (2 people – 1 bed) Double/Double (2 people – 2 beds)
3rd Choice:
_______________________________________ Special Requests: ADA Room ! Crib Roll Away Bed
Triple (3 people – 2 beds) Quad (4 people – 2 beds) Suite
Please explain Special Requests: ________________________________________________________________________________________________________
DEPOSIT Card Number: __________________________________________________________________________
Expiration Date: _______________________
Name as printed on card: _________________________________________________________________
American Express
Discover
Signature: _____________________________________________________________________________
MasterCard
Visa
TO MAKE A RESERVATION Online: www.avmaconvention.org By Telephone: Hours: 8:00am - 6:30pm (Central Time)
By Fax: Use this Housing - FORM
Ph: 888-295-4523 Ph: 972.349.5813 Fax: 972.349.7715
U.S. and Canada International U.S., Canada and International
Hours: 24 Hours – 7 Days a Week • • •
A one night room/tax deposit (equal to the cost of one night’s stay plus tax) is due at the time of reservation. If you do not receive a reservation confirmation within three (3) business days - Please call Wyndham Jade. Policies on reservation cancellations and arrival/departure changes vary by hotel. Refer to your reservation confirmation for specific details. For Deposit Refunds: Call Wyndham Jade at Ph: 888-295-4523.
Housing Deadline: July 11, 2017
