national society of black engineers 42 annual convention

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NATIONAL SOCIETY OF BLACK ENGINEERS 42ND ANNUAL CONVENTION BOSTON, MA * MARCH 23 - 27, 2016 CORPORATE/EXHIBITOR & NON-MEMBER HOUSING REQUEST FORM Instructions:    

Please complete this form and return to NSBE Housing NO LATER than February 19, 2016. Please contact NSBE Housing/Wyndham Jade with any changes. Do not contact the hotel directly. Deposits and names are due at time of booking. Your reservation(s) will not be processed without names and payment information. Please circle your attendee type (choose one): Corporate/Exhibitor Non-Member

Personal Information

Please type or print legibly

First Name:

Confirmation of reservation(s) will be sent to email address provided on form Last Name:

Company/Organization: Address: City:

State/Province:

Zip/Postal Code :

Country:

E-Mail :

Phone :

Fax :

Hotel / Guest Room Information

Reservation cut off: February 19, 2016

Boston Convention & Exhibition Center - 415 Summer St. - Boston, MA 02210

_____ Boston Park&Plaza – Rates from $163 per night + tax

_____ Marriott Copley – Rates from $180 per night + tax

_____ Hyatt Regency – Rates from $185 per night + tax

_____ Renaissance – Rates from $180 per night + tax

_____ Seaport – Rates from $194 per night + tax

_____ Westin Copley – Rates from $179 per night + tax

_____ Westin Waterfront – Rates from $179 per night + tax Each line represents one room. Please print the first/last names of one of the persons occupying each room. Please insert a “placeholder” name if a specific name is not known at the time of completion. (Do not use “TBD”). If additional lines are required, please copy this form as needed.

Name Joe Attendee

# of Beds

Arr. Date

Dep. Date

2

3/25

3/29

Credit Card or Check Number xxxx-xxxx-xxxx-xxxx

Exp Date

Roommate 1

Roommate 2

Roommate 3

04/15

Bob Roommate

John Roommate

Tom Roommate

Payment Information

($4 Processing Fee is Non-Refundable)

Payment: These fees will be processed when your reservations are confirmed: Reservations are subject to a one-time non-refundable $4 processing fee. Charges will appear as NSBE Housing on your credit card statement. Payment by Check: Your reservation is not guaranteed until your deposit is received. Checks must be in U.S. dollars, drawn from a U.S. bank and payable to NSBE Housing/Wyndham Jade. Checks not made payable to NSBE Housing/Wyndham Jade will be returned. Send completed 2016 NSBE hotel request form to: Email [email protected]

Phone / Questions 888-241-8407 (U.S./ Canada) 972-349-7486 (International) Mon-Fri, 8am-6:30pm CST

Fax 972.349.7715

Mail NSBE/Wyndham Jade Housing 6100 W. Plano Parkway, Ste. 3500 Plano, TX 75093