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2005-12-14 CC Packet
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2005-12-14 CC Packet
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5/9/2006 2:37:39 PM
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12/9/2005 3:55:31 PM
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<br />MCFOA CONFERENCE <br />March 14-17. 2008 <br />OverniGht Lodalna Rnervatlon Form <br /> <br />All housing requests must be received by Febru8fV 15. 2006. <br /> <br />Conference attendees may choose from the following two hotels. both of which are holding a block of <br />sleeping rooms on March 14 through 16, 2006. Check your choice of hotel and then complete all section8 of the <br />housing reservation below. Then retum the form to the hotel you have 88Iect8d. If your request cannot be <br />accommodated at your preferred hotel. you will be notified. <br /> <br />~ Best Western Kelly Inn (Conference Headquarters) <br />$721single or double plus tax <br />100 4th Avenue South, St. Cloud, MN 56301 <br />320-253-0606 (phone) <br />Note: You may also register via e-mail (putMCFOAinsubjectline)atalangoodgsmOaol.com <br /> <br />o Radisson Suite Hotel (connected to Conference Headquarters via skyway) <br />$84/single or double plus tax - BLOCK CODE: MCFOA <br />(Addition: $101person if occupied by more than 2 people) <br />404 West st. Germain, St. Cloud, MN 56301 <br />320-654-1661 (phone) and 320-654-0779 (fax) <br />Note: You will receive an electronic confirmation of your reservation if an email address is provided. <br /> <br />Ple.se print or type. <br />Generalln rmation <br />Name: Title: A.( (+ ~, " v Ie r <br />Affiliation: <br />street Address: <br />City: (-,t~ -koVI~~ State: ~~ ZiP:W ~rl" <br />D2IYl!mePhone: _-- -~2c,-~ Fax: (~,(-i..i..~~;r('l~-- <br />Emall address:___.p...~.{___.l..tkJfJi.II..IVIA 1 , r I)Yh <br /> <br />Accommodation Desired <br />~Ie Occupancy 0 Double Occupancy <br /> <br />Arrival Date:--3II'-IlQ/. Departure Date: 3 / ~ 7//)(" # of Nights: _ <br />Approximate Arrival Time: <br /> <br />Name(s) of all individuals sharing the room. (Ust primary individual first!): <br />1. <br />2. <br /> <br /> <br />Boacial Reauests <br />o Smoking <br />13" Non-Smoking <br />o Accessible <br />Explain: <br /> <br />Method of Payment <br />(Note: Accommodations cannot be processed wlhout payment of the <br />first nighrs deposit. Deposit may be remitted via check or credit card <br />as noted below.) <br />D Check enclosed (payable to selected hotel) <br />~ Credit Card <br />(Circle one: Visa, MasterCard, American Express, Diners Club) <br />Name on Card: <br />Card #: <br />Expiration Date <br />Cardholder Signature: <br /> <br />~f <br />
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