<p> Reservation Form Fern Valley Hotel and Convention Center – Louisville, KY (877) 564-3311 For on-line reservations, go to: https://reservations.ihotelier.com/crs/g_reservation.cfm?groupID=415996&hotelID=15455 National 4-H Livestock Judging Contest North American International Livestock Exposition November 13-17, 2010 (Please type or print information on this form)</p><p>Please complete the following information for your reservation:</p><p>Name:</p><p>Name(s) of additional person(s) sharing room:</p><p>Address:</p><p>Phone: Fax:</p><p>Arrival Date: Departure Date:</p><p>No. of Rooms: Room/type Requested:</p><p>Smoking Request: Please note:  Check-in is at 3 pm (late check-in is after 6 pm – must notify hotel)  Check-out is at noon  72 hour advance cancellation required  Room reservation cutoff date is OCTOBER 22, 2010  Room rate is $87 + taxes (up to 5 persons per room ($100.06 including taxes)  A deposit of 1 night’s rate is required with your reservation request. Accepted methods of payment include American Express, Diners Club, Visa, Discover Card, Master Card, Carte Blanche, or Check (with ID)</p><p>For all credit card payments, complete the following:</p><p>Card Type: Expiration Date:</p><p>Card Number:</p><p>Name on Card:</p><p>Authorizing Signature:</p><p>Fax this form to: (502) 966-4874 or Mail this form to: Reservations Fern Valley Hotel and Convention Center 2715 Fern Valley Road Louisville, KY 40213</p>