NATIONAL SOCIETY OF BLACK ENGINEERS 44th ANNUAL ...

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NATIONAL SOCIETY OF BLACK ENGINEERS 44th ANNUAL CONVENTION PITTSBURGH, PA * MARCH 21-25, 2018 COLLEGIATE 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 (Tax Currently 14%) _____ Cambria Hotel

– Rates from $159 per night + tax

_____ Marriott City Ctr.

– Rates from $124 per night + tax

_____ Doubletree Hotel

– Rates from $129 per night + tax

_____ Renaissance

– Rates from $129 per night + tax

_____ Embassy Suites

– Rates from $169 per night + tax

_____ Residence Inn N. Shore

– Rates from $119 per night + tax

_____ Hampton Inn

– Rates from $119 per night + tax

_____ Sheraton Station Square

– Rates from $129 per night + tax

_____

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 $125 per night + tax

_____

Omni William Penn

– Rates from $125 per night + tax

_____ Wyndham Grand

– Rates from $125 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