Conference Center Reservation Form for SPICE 2011

Family Information: Contact name: Mailing address: Attendee names and ages (enter "A" for adults):

Telephone: Room Reservations:
Each room has two single beds and a private bath. All overnight rooms will be priced at one rate. Handicapped-friendly rooms are available upon special request. A maximum of two keys will be issued per room. Children may sleep on the floor if they provide their own bedding. Check-in time is 3 PM and check-out time is 12 noon. Check-in on 6/20/11 is after 6 PM.

Check-in date:

Check-out date: x

Length of stay (nights): nights = $

Number of Overnight Rooms needed: x $70.00 per night Handicapped Room: Y / N If Yes, How Many____________ Meal Reservations:

Meals must be ordered in advance and will be charged to your bill. Meal tickets will be issued at check-in. Please enter # of meals ordered in cells below. Adult meals (age 11+) Breakfast $6.75 Lunch $8.75 Dinner $10.80 Meal Rates: Youth meals (ages 6-10) Breakfast $3.35 Lunch $4.50 Dinner $5.50 Child meals (ages 0-5) No charge No charge No charge

Sunday 6/19/11 L D Adults Youth Children

Monday 6/20/11 B L D

Tuesday 6/21/11 B L D

Wednesday 6/22/11 B L D

Thursday 6/23/11 B L

Each reservation must be accompanied with credit card information. Deposits will not be accepted. Reservations must be received by June 5, 2011. Refunds for rooms AND MEALS will be given only for cancellations received by June 14, 2011. Meals cannot be cancelled upon arival.

Credit card type:
Return form to:

Card number: Signature:____________________

Expiration date: Date:

Name on credit card:________________________

Erica Hamryszak, LLC, University of Pittsburgh at Johnstown, 450 Schoolhouse Road, Johnstown, PA 15904. You may also fax form to (814) 269-7500. Erica can be reached at 814-269-1906

Sign up to vote on this title
UsefulNot useful