Hotel Room Reservation Form –2008
CLARION HOTEL & CONFERENCE CENTER
Name
School
Address
City State ZIP
Office Phone Home
Phone
Arrival Date: Time:
Departure Date: Time:
(To Receive Convention Rate
Reservation must be received by 4/1/07)
___ Single (1 person) $93 ___ Double (2 people) $113
________________________
(Name of person
sharing room)
__ Check Enclosed
Credit Card
___ American Express ___
Diner
___ Carte Blanche ___
VISA
___ MasterCard ___
Discover
___ Clarion Hotel Credit Card
Credit Card No.
Expiration Date:
I understand that I am liable
for one night’s room and tax, which will be deducted from my deposit or billed
through my credit card in the event that I do not arrive or cancel on the
arrival date indicated. Reservations must be accompanied by a deposit or an
accepted credit card number and signature.
For reservations or cancellations, please call direct
(502) 491-4830
Signature Date
Mail this form and payment to: Clarion Hotel Reservations
9700
Bluegrass Parkway
Louisville,
KY 40299