Official Hotel Reservation Form for Hinman 2012
OFFICIAL HOUSING RESERVATION FORM • HOTEL RESERVATION DEADLINEs BEGIN March 7, 2012
The 100th Thomas P. Hinman Dental Meeting March 22-24, 2012 Georgia World Congress Center Atlanta, GA Four Ways to Book www.hinman.org
17TH ST
(800) 243 1581 US Toll-free (312) 527 7300 Local 16TH ST
[email protected]
Official Hotels & Rates
(312) 329 9513 Fax
Map
Woodruff Art Center
HOME PARK
1. Comfort Suites Atlanta Downtown 54 Peachtree St SW
X RD LENO
Single/Double: $132
19
XB RO
14TH ST
2. Courtyard by Marriott Atlanta Downtown 133 Carnegie Way
Single/Double: $185 5 3. Ellis Hotel 176 Peachtree St NW Single/Double: $179 4. Embassy Suites Atlanta — Centennial Park 267 Marietta St Pie Single/Double: $215 5. Four Seasons Atlanta 75 14th St 10TH ST Single/Double: $230 14 6. Glenn Hotel 110 Marietta St 400 Single/Double: $184 MIDTOWN E E R 7. Hampton Inn & Suites Atlanta Downtown 161 Spring St NW 1000 ft HT 200 m AC Single/Double: $162 PE MARTA Station 8. Hampton Inn-Atlanta GA Tech 244 North Ave North Atlanta Single/Double: $159 85 9. Hilton Atlanta Downtown 255 Courtland St NE Single/Double: $154 10. Hilton Garden Inn Downtown 275 Baker St Georgia Institute Single/Double: $191 of Technology 11. Holiday Inn Centennial Park 101 Andrew Young International Blvd MA TECH RIE Single/Double: $159 PKWY TTA DONALD LEE HOLLOWELL PKWY ST 12. Hyatt Place Downtown 330 Peachtree St NE Single/Double: $184 13. Hyatt Regency Atlanta 265 Peachtree St NE NORTH AVE 8 17 Single/Double: $192 Coca-Cola 14. JW Marriott Buckhead 3300 Lenox Rd Single/Double: $189 ENGLISH AVENUE 15. Marriott Atlanta Downtown 160 Spring St NW Cen Single/Double: $187 16. Marriott Marquis 265 Peachtree Center Ave NE Single/Double: $189 BEDFORD PINE 17. Melia Atlanta Hotel 590 West Peachtree St 22 Single/Double: $129 IVAN ALLEN JR BLVD 12 18. Omni Hotel at CNN Center 100 CNN Ctr RA Single/Double: $205 Georgia JOSEPH E BOONE BLVD Georgia World Congress Center 19. Ritz-Carlton Buckhead 3434 Peachtree Rd NE Aquarium Single/Double: $205 20. Ritz-Carlton Atlanta 181 Peachtree St NE 13 10 Centennial 9 16 Olympic Park Single/Double: $205 HARRIS ST 11 21. Sheraton Atlanta 165 Courtland St NE 75 4 Single/Double: $169 23 20 ANDREW YOUNG 21 BLVD 22. W Hotel Downtown 45 Ivan Allen Jr Blvd 7 INTERNATIONAL 15 ST 2 Single/Double: $229 3 G ELLIS ST CNN Center IN 6 23. Westin Peachtree Plaza 210 Peachtree St NW Phillips PR S Single/Double: $179 Arena 18 Georgia O OR
JUNIPER ST
TR
A TT
IE
Hunt Park
1
PR YO R
Complimentary promotion exclusive to 100th Thomas P Hinman Dental Meeting hotel block Complimentary amenity available to all hotel guests
MI
$15 Food and Beverage Credit
ST
10% off Food and Beverage
Evening Reception Wireless Internet Access
IN
ITY
EL
LS T
AV E
DE CA TU
R
ST
State Museum of Map used to indicate approximate locations only. Science & Industry
MARTIN
85
PE
TE
RS
Double Rewards Points
TC H
TR
Internet Access
Continental Breakfast
ST
Save even more money by receiving complimentary amenities at official hotels as noted.
Hot Breakfast
Woodruff Park
ST
MARTIN LUTHER KING JR DR
Hotel Extras
PIEDMONT AVE
R MA
Dome
COURTLAND ST
PEACHTREE ST NE
PEACHTREE ST NW
SPRING ST
D
NORTHSIDE DR
RD
ON
DM PIE
Rates do not include current tax of 15% or applicable surcharges, subject to change.
MEMORIAL DR The lowest available room rates at event hotels have been specially negotiated. Other booking channels are continuously monitored to track down rival rates. Event rates are re-negotiated when necessary and the lower rates are applied to already-booked rooms.
Shuttle Service Spelman College
20
20
FULTON ST
OFFICIAL HOUSING RESERVATION FORM • HOTEL RESERVATION DEADLINEs BEGIN February 1, 2012
The 100th Thomas P. Hinman Dental Meeting March 22-24, 2012 Georgia World Congress Center Atlanta, GA Four Ways to Book www.hinman.org
1
(800) 243 1581 US Toll-free (312) 527 7300 Local
[email protected]
(312) 329 9513 Fax
2 Category
Contact Information
You can expect to receive a confirmation within 72 hours. If you do not, please contact us.
Attendee
Exhibitor
Name:
3
Company:
Enter your hotel choices in order of preference.
Address:
1: _______________________________________ _______________________________ Rewards Number
Hotels
2: _______________________________________ _______________________________ Rewards Number City:
State:
ZIP/Postal Code:
3: _______________________________________ _______________________________ Rewards Number Important Note: Reservations will be processed on a first-come, first-served basis. If requested hotels are unavailable, please process this reservation according to: Proximity to Georgia World Congress Center Comparable Rate Same chain affiliation as first choice (if available)
Country:
Phone: Fax:
Special Requests I am in need of an ADA–accessible room; I may need special assistance from my hotel in the event of an emergency. I am interested in discounted airfares or car rental rates.
Email:
4 Booking Details
Name: ___________________________________________________________ Company: ________________________________________________ This is an Individual Booking
Non-Smoking
Smoking
1 Room
Arrival Date: ______________________ Departure Date:______________________ Name of person(s) sharing the room:_________________________________________________
MM / DD / YY
Room Type:
Single
MM / DD / YY
Double 1 Bed
Double 2 Beds
Triple
Quad
This is a Group Booking 2+ Rooms Use this grid to indicate your room type(s) and number of rooms you are requesting per night. For more space, attach an additional page — or log on to www.hinman.org where you can easily make your group booking through our online system.
Room Type
Sun, March 18
Mon, March 19
Tues, March 20
Thurs, March 22
Weds, March 21
Fri, March 23
Sat, March 24
Sun, March 25
Mon, March 26
Event
Names can be added to rooms at a later time. Please note that all names must be provided by February 1, 2012.
5 Payment Information & Cancellation Policy Payment Guarantee: No charges are incurred at the time of booking, however, a payment guarantee is required to hold your reservation in the amount of one night's stay at the confirmed hotel plus current tax of 16% (plus applicable surcharge if noted); subject to change. The hotel will charge payment to the credit card provided upon check-in. Please refer to your confirmation for full details, which may vary per hotel. Cancellation Policy: Reservations cancelled less than 72 hours from the confirmed check-in date or not cancelled at all (no-show) are subject to loss of deposit. Please refer to your reservation confirmation for full policy details, which may vary per hotel. Payment Method
Credit Card Card Type:________________________________________________________________ American Express, Diners Club, Discover, MasterCard and Visa cards are accepted #: _________________________________________________ Expiration Date:_________ MM/YY
Name: ___________________________________________________________________ As it appears on card
Check #: __________________________________ $ __________________________________ Check Enclosed
Credit Card information must be provided to guarantee reservation until check arrives. Check must accompany this completed form and arrive no later than February 1, 2012. Make check payable to onPeak, LLC. Add current tax of 15%, subject to change. Mail to: Hinman c/o onPeak; 350 N Clark St, Ste 200; Chicago, IL 60654.
Signature: ________________________________________________________________
Think Green Please consider the environment before printing this form. Easily make your booking online: www.hinman.org
The 100th Thomas P. Hinman Dental Meeting March 22-24, 2012 Georgia World Congress Center Atlanta, GA Four Ways to Book www.hinman.org
17TH ST
(800) 243 1581 US Toll-free (312) 527 7300 Local 16TH ST
[email protected]
Official Hotels & Rates
(312) 329 9513 Fax
Map
Woodruff Art Center
HOME PARK
1. Comfort Suites Atlanta Downtown 54 Peachtree St SW
X RD LENO
Single/Double: $132
19
XB RO
14TH ST
2. Courtyard by Marriott Atlanta Downtown 133 Carnegie Way
Single/Double: $185 5 3. Ellis Hotel 176 Peachtree St NW Single/Double: $179 4. Embassy Suites Atlanta — Centennial Park 267 Marietta St Pie Single/Double: $215 5. Four Seasons Atlanta 75 14th St 10TH ST Single/Double: $230 14 6. Glenn Hotel 110 Marietta St 400 Single/Double: $184 MIDTOWN E E R 7. Hampton Inn & Suites Atlanta Downtown 161 Spring St NW 1000 ft HT 200 m AC Single/Double: $162 PE MARTA Station 8. Hampton Inn-Atlanta GA Tech 244 North Ave North Atlanta Single/Double: $159 85 9. Hilton Atlanta Downtown 255 Courtland St NE Single/Double: $154 10. Hilton Garden Inn Downtown 275 Baker St Georgia Institute Single/Double: $191 of Technology 11. Holiday Inn Centennial Park 101 Andrew Young International Blvd MA TECH RIE Single/Double: $159 PKWY TTA DONALD LEE HOLLOWELL PKWY ST 12. Hyatt Place Downtown 330 Peachtree St NE Single/Double: $184 13. Hyatt Regency Atlanta 265 Peachtree St NE NORTH AVE 8 17 Single/Double: $192 Coca-Cola 14. JW Marriott Buckhead 3300 Lenox Rd Single/Double: $189 ENGLISH AVENUE 15. Marriott Atlanta Downtown 160 Spring St NW Cen Single/Double: $187 16. Marriott Marquis 265 Peachtree Center Ave NE Single/Double: $189 BEDFORD PINE 17. Melia Atlanta Hotel 590 West Peachtree St 22 Single/Double: $129 IVAN ALLEN JR BLVD 12 18. Omni Hotel at CNN Center 100 CNN Ctr RA Single/Double: $205 Georgia JOSEPH E BOONE BLVD Georgia World Congress Center 19. Ritz-Carlton Buckhead 3434 Peachtree Rd NE Aquarium Single/Double: $205 20. Ritz-Carlton Atlanta 181 Peachtree St NE 13 10 Centennial 9 16 Olympic Park Single/Double: $205 HARRIS ST 11 21. Sheraton Atlanta 165 Courtland St NE 75 4 Single/Double: $169 23 20 ANDREW YOUNG 21 BLVD 22. W Hotel Downtown 45 Ivan Allen Jr Blvd 7 INTERNATIONAL 15 ST 2 Single/Double: $229 3 G ELLIS ST CNN Center IN 6 23. Westin Peachtree Plaza 210 Peachtree St NW Phillips PR S Single/Double: $179 Arena 18 Georgia O OR
JUNIPER ST
TR
A TT
IE
Hunt Park
1
PR YO R
Complimentary promotion exclusive to 100th Thomas P Hinman Dental Meeting hotel block Complimentary amenity available to all hotel guests
MI
$15 Food and Beverage Credit
ST
10% off Food and Beverage
Evening Reception Wireless Internet Access
IN
ITY
EL
LS T
AV E
DE CA TU
R
ST
State Museum of Map used to indicate approximate locations only. Science & Industry
MARTIN
85
PE
TE
RS
Double Rewards Points
TC H
TR
Internet Access
Continental Breakfast
ST
Save even more money by receiving complimentary amenities at official hotels as noted.
Hot Breakfast
Woodruff Park
ST
MARTIN LUTHER KING JR DR
Hotel Extras
PIEDMONT AVE
R MA
Dome
COURTLAND ST
PEACHTREE ST NE
PEACHTREE ST NW
SPRING ST
D
NORTHSIDE DR
RD
ON
DM PIE
Rates do not include current tax of 15% or applicable surcharges, subject to change.
MEMORIAL DR The lowest available room rates at event hotels have been specially negotiated. Other booking channels are continuously monitored to track down rival rates. Event rates are re-negotiated when necessary and the lower rates are applied to already-booked rooms.
Shuttle Service Spelman College
20
20
FULTON ST
OFFICIAL HOUSING RESERVATION FORM • HOTEL RESERVATION DEADLINEs BEGIN February 1, 2012
The 100th Thomas P. Hinman Dental Meeting March 22-24, 2012 Georgia World Congress Center Atlanta, GA Four Ways to Book www.hinman.org
1
(800) 243 1581 US Toll-free (312) 527 7300 Local
[email protected]
(312) 329 9513 Fax
2 Category
Contact Information
You can expect to receive a confirmation within 72 hours. If you do not, please contact us.
Attendee
Exhibitor
Name:
3
Company:
Enter your hotel choices in order of preference.
Address:
1: _______________________________________ _______________________________ Rewards Number
Hotels
2: _______________________________________ _______________________________ Rewards Number City:
State:
ZIP/Postal Code:
3: _______________________________________ _______________________________ Rewards Number Important Note: Reservations will be processed on a first-come, first-served basis. If requested hotels are unavailable, please process this reservation according to: Proximity to Georgia World Congress Center Comparable Rate Same chain affiliation as first choice (if available)
Country:
Phone: Fax:
Special Requests I am in need of an ADA–accessible room; I may need special assistance from my hotel in the event of an emergency. I am interested in discounted airfares or car rental rates.
Email:
4 Booking Details
Name: ___________________________________________________________ Company: ________________________________________________ This is an Individual Booking
Non-Smoking
Smoking
1 Room
Arrival Date: ______________________ Departure Date:______________________ Name of person(s) sharing the room:_________________________________________________
MM / DD / YY
Room Type:
Single
MM / DD / YY
Double 1 Bed
Double 2 Beds
Triple
Quad
This is a Group Booking 2+ Rooms Use this grid to indicate your room type(s) and number of rooms you are requesting per night. For more space, attach an additional page — or log on to www.hinman.org where you can easily make your group booking through our online system.
Room Type
Sun, March 18
Mon, March 19
Tues, March 20
Thurs, March 22
Weds, March 21
Fri, March 23
Sat, March 24
Sun, March 25
Mon, March 26
Event
Names can be added to rooms at a later time. Please note that all names must be provided by February 1, 2012.
5 Payment Information & Cancellation Policy Payment Guarantee: No charges are incurred at the time of booking, however, a payment guarantee is required to hold your reservation in the amount of one night's stay at the confirmed hotel plus current tax of 16% (plus applicable surcharge if noted); subject to change. The hotel will charge payment to the credit card provided upon check-in. Please refer to your confirmation for full details, which may vary per hotel. Cancellation Policy: Reservations cancelled less than 72 hours from the confirmed check-in date or not cancelled at all (no-show) are subject to loss of deposit. Please refer to your reservation confirmation for full policy details, which may vary per hotel. Payment Method
Credit Card Card Type:________________________________________________________________ American Express, Diners Club, Discover, MasterCard and Visa cards are accepted #: _________________________________________________ Expiration Date:_________ MM/YY
Name: ___________________________________________________________________ As it appears on card
Check #: __________________________________ $ __________________________________ Check Enclosed
Credit Card information must be provided to guarantee reservation until check arrives. Check must accompany this completed form and arrive no later than February 1, 2012. Make check payable to onPeak, LLC. Add current tax of 15%, subject to change. Mail to: Hinman c/o onPeak; 350 N Clark St, Ste 200; Chicago, IL 60654.
Signature: ________________________________________________________________
Think Green Please consider the environment before printing this form. Easily make your booking online: www.hinman.org
