HOTEL REGISTRATION FORM – PAGE 1 Please read all information and instructions carefully before completing. Type and complete all 3 pages – incomplete, handwritten or faxed forms will not be accepted.
PLEASE PDF ALL PAGES AND EMAIL
Name of School: Address: City: State: Zip: School Phone: Fax: Moderator(s): Day Phone: Evening Phone: Email:
Total Number of Guests: Male Students Female Students Moderators Chaperones
2015 Room Rates (All room rates are inclusive of tax, currently 14.5%)
x x $250.76 = # of singles # of nights (1 King Bed) x x $250.76 =
# of doubles # of nights (1 King Bed) x x $279.38 =
# of triples # of nights (1 King Bed) x x $335.49 = # of quads # of nights (2 Double Beds) Room Subtotal =
ROLLAWAY NOTICE Triple Room Requests will be placed into a King Bed Room with a Rollaway. Rollaway beds are based on availability and will be charged a one-time fee of $35.00. Rollaway beds are not available in rooms with 2 double beds. DOUBLE BED NOTICE Regardless of the number of occupants, a room with 2 Double Beds is $335.49 per night.
Portage Fee* x $10.00 $ # of guests (per person) *Porterage fees are mandatory $35.00 # of Roll Away Beds x (per room) $ HOTEL REGISTRATION FORM – PAGE 2 Total # of Arrival Date: Departure Guestrooms Date: : Name of School: Moderator(s): Day Phone: Evening Phone: Email: Approximate Arrival Time at Hotel: * Please be as accurate as possible to assist with timely assignment of guest rooms.
Form of Transportation: * If using buses or vans, please provide number and size (e.g. 2 school buses; 3 minivans, etc). Please make alternate arrangements for parking of oversize vans. There will be no parking available on the hotel premises. Are all parties arriving at the same time? Yes No
The following page is for the names of the reservations you are requesting. Please be sure to follow these instructions:
1. Please indicate the Moderator with an asterisk. 2. To make changes to the reservations, you must contact Daniel Devairakkam at the Washington Hilton reservations department DIRECTLY by January 26th. 3. Decreases in occupancy of a guestroom made after January 26th will not result in a reduced rate. 4. Payments for the full stay plus porterage must be made DIRECTLY to the Washington Hilton. Payment will be required with this room reservation request. We accept checks or credit cards. NO PURCHASE ORDERS WILL BE ACCEPTED. If sending a check, please clearly reference the school. Reservations will not be made until payment is received. 5. Suites are NOT available for reservation by high school teams during the conference. 6. All three of these forms must be completely filled out and sent with your payment directly to the Washington Hilton no later than January 26th, 2015, by email only. Please use the contact information listed below. 7. You will receive confirmation of your reservations. If you have not received confirmation within one week, please call the number below to confirm that your information was received. 8. If the hotel is sold out of double bed rooms, reservations may be made in king rooms with one rollaway bed. You will be notified if this change must be made to your reservation.
Credit Card Number: Exp. Date: / Name on card: Please note that this credit card will be charged immediately for the entire stay of all rooms, tax and relevant portage charges requested on this form. Signature Authorization:
Reservations Department Reservations Contact: Daniel Devairakkam Washington Hilton HOTEL REGISTRATION FORM – PAGE 3 Email: [email protected] 1919 Connecticut Avenue, NW Telephone: 202-483-3000 x3731 Washington, DC 20009
Fax: 202-939-3293
Main Hotel Phone: 202-483-3000 HOTEL REGISTRATION FORM – PAGE 4 Rooming List
Name of School: Address: City: State: Zip: School Phone: Fax: Moderator(s): Day Phone: Evening Phone: Email:
This form will only be accepted via email to: [email protected]
Guest 1 Guest 2 Guest 2 Guest Arrival Departure # of Guest 2 Last Guest 3 Guest 4 Guest 4 Room # Last First First 3 Last Date Date guests Name First Name Last Name First Name Name Name Name Name 1 2 3 4 5 6 7 8 9 10 11 12 Please put an * next to the Moderators name