NATIONAL SOCIETY OF BLACK ENGINEERS 44th ANNUAL CONVENTION PITTSBURGH, PA * MARCH 21-25, 2018 CORPORATE/EXHIBITOR HOUSING REQUEST FORM Instructions: • • •
Please complete this form and return to NSBE Housing NO LATER than February 26, 2018. 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.
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 :
Mark your 1 -4 choice hotels below
Hotel / Guest Room Information
st
th
David Lawrence Convention Center - 1000 Fort Duquesne Blvd, Pittsburgh, PA 15222 _____ Cambria Hotel
– Rates from $159 per night + tax
_____ Marriott City Ctr.
– Rates from $189 per night + tax
_____ Doubletree Hotel
– Rates from $179 per night + tax
_____ Renaissance
– Rates from $189 per night + tax
_____ Embassy Suites
– Rates from $169 per night + tax
_____ Residence Inn N. Shore
– Rates from $119 per night + tax – Rates from $189 per night + tax
_____ Hampton Inn
– Rates from $179 per night + tax
_____ Sheraton Station Square
_____
Hilton Garden Inn
– Rates from $169 per night + tax
_____ Springhill Suites N. Shore – Rates from $144 per night + tax
_____
Homewood Suites
– Rates from $159 per night + tax
_____ Westin Conv. Center
– Rates from $199 per night + tax
_____
Omni William Penn
– Rates from $199 per night + tax
_____ Wyndham Grand
– Rates from $199 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
04/15
Bob Roommate
John Roommate
Payment Information
Roommate 3 Tom Roommate
($4 Processing Fee is Non-Refundable)
Payment: These fees will be processed when your reservations are confirmed: Reservations are subject to a one night’s room and tax deposit and 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 2018 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