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APA Housing Reservation Form for Attendees APA 35th Annual Congress May 16-20, 2017 ● Orlando, FL    

All housing reservations for the 2017 Congress must be made with APA’s Housing Bureau. Submit one form per room. If more than one reservation is needed, ple ase duplicate this form. Reservations are taken on a first-come, first-served basis. If you would like to reserve a suite, please contact APA Housing at (888) 266 -7660.

PLEASE PRINT THE FOLLOWING INFORMATION: First Name: ____________________________________ Last Name: _______________________________ APA ID#: (if applicable) ______________________________________________________________________ Company Name: _________________________________________________________________________ Mailing Address: _________________________________________________________________________ City: _______________________________________________

State/Province: _____________________

Zip + 4-digit/Postal Code: _____________________________

Country: ___________________

E-mail: (Required for Housing Confirmation) _________________________________________________________ Phone Number: _____________________________ Fax Number: _________________________________ (Area/Country Code)

(Area/Country Code)

Arrival Day and Date: ______________________ Departure Day and Date: _________________________

Reservations Must Be Received by APA Housing by April 18, 2017.

Room Choice

Hotel All APA educational activities will be at Orlando World Center Marriott.

SGL/DBL

TRIPLE

QUADRUPLE

Orlando World Center Marriott – Deluxe Room**

$229.00*

$229.00*

$229.00*

* Applicable taxes (sales and occupancy) will be added to room rates. ** Rates are available three (3) days prior and one (1) day after the Conference Dates.

Type of Room: □ Single (1 person/1 bed) □ Double (2 people/1 bed) □ Double/Double (2 people/2 beds) □ Triple (3 people/2 beds) □ Quad (4 people/2 beds)

Room Request: □ Smoking □ Non-smoking □ King Bed □ Wheelchair Accessible □ Other ______________

Special Requests (accommodate when possible): ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

Name(s) of other adults occupying room (do not submit separate forms for these individuals): 1. __________________________________________________________________________________ 2. __________________________________________________________________________________ 3. __________________________________________________________________________________ PAYMENT A deposit of one night’s room and tax is required for all reservations. Forms submitted without payment information will not be processed. Credit cards will be charged within two weeks of time of reservation. Check enclosed for US $ __________________ (Payable to APA Housing/Wyndham Jade). Mail form and check to address below. Credit Card Information

□ AMEX □ Discover □ MasterCard □ Visa

Card is: (check one) □ Personal □ Corporate

Credit Card #: ______________________________________________ Exp. Date: ____________________ Cardholder’s Name: _______________________________________________________________________ Cardholder’s Signature: ____________________________________________________________________. CHANGES AND CANCELLATIONS Changes and cancellations must be made through APA’s Housing Bureau. To receive a refund of deposit, all cancellations must be received at least 5 days prior to arrival date. Three easy ways to book your Congress housing reservation: 1

ONLINE Credit Card Only

2

FAX Credit Card Only

3

E-MAIL Credit Card Only

4

MAIL Credit Card or Check

www.americanpayroll.org/congress/ This is a SECURE site for credit card processing. Confirmations sent immediately via e-mail.

(972) 349-7715 (Do not mail or e-mail form after faxing) Confirmations e-mailed within 3 business days, or mailed within 5 business days.

[email protected] (Do not mail or fax form after e-mailing) Confirmations e-mailed within 3 business days, or mailed within 5 business days.

APA Housing Bureau c/o Wyndham Jade 6100 W. Plano Pkwy., Suite 3500 Plano, TX 75093 USA Confirmations e-mailed within 3 business days, or faxed/mailed within 5 business days.

QUESTIONS? Call toll-free from U.S.: (888) 266-7660 or (972) 349-5882. Phones answered Monday – Friday, 8:00 a.m. – 6:30 p.m., U.S. Central Time.