Hotel Registration Form

Advances in Cosmetic & Medical Dermatology
February 25 - March 1, 2008

Seminar participants have an option as to the category of accommodations. The rates are per room, on a daily basis, and are the same for single or double occupancy.

Room categories are based on availability on the date the request form is received. Should a category be sold out for the dates requested, your room reservations will automatically be confi rmed in the next available category. Hotel arrangements cannot be confirmed by phone.

We strongly encourage participants to reserve early to insure a room in their desired hotel and category!

HOTEL ACCOMMODATIONS / ACMD SEMINARS & WORKSHOPS / February 25 - March 1, 2008/ WAILEA, MAUI
Deadline Date: January 15, 2008
- Any reservation received after this date cannot be assured of hotel space or the group rate.

GRAND WAILEA RESORT & SPA (Location of Seminars & Workshops)
Terrace $295.00 (Sold Out) Garden View $360.00 (Sold Out)  
Ocean View $460.00 Deluxe Ocean View $485.00 x 2 Nights Dep = $ + Tax

WAILEA MARRIOTT RESORT & SPA (Limited number of rooms available)
Garden View $260.00 Ocean View $315.00  
Ocean Front $360.00 x 2 Nights Dep = $ + Tax

NOTE: To the above shown rates you must ADD a Daily Resort Fee of $20.00 per room.
You must also ADD the present Hawaii Tax of 11.41% to all rates shown above (subject to change)
Special Requests - PLEASE SELECT: No Smoking Room Smoking Room King Bed 2 Double Beds
Arrival Date:
Departure Date:
Other:

Note: Special Requests will be forwarded to the hotel by HTC. It is the hotel that confirms or denies special requests.
Requests are not guaranteed by HTC, ACMD or the hotel. Hawaii State Law prohibits more than 4 persons per room.

LAST NAME, FIRST NAME, AGE (if under 18)
1.
2.
3.
4.

Contact Information:
Address:
City: State: ZIP:
Office Phone: FAX:
E-Mail: Confirm E-Mail:

DEPOSIT/CANCELLATION POLICY: An initial deposit equaling a two (2) night stay is required in order to confirm your reservation. After November 15, 2007 this deposit is non-refundable in the event of cancellation.

CHANGE POLICY: Any changes made to a reservation after the initial confi rmation is subject to a $25 administrative fee. Any reduction in the total room nights reserved after November 15, 2007 may be subject to penalty.

NOTE: All changes and cancellations must be done in writing to HTC.

Deposits may be paid by credit card or check. NO reservation will be confirmed without a form of deposit.

If paying by check, make payable to HTC INTL.

If by credit card, complete below

Select One: VISA MC AMEX
Card # Expiration Date :
Name as it appears in card:

Deadline Date: January 15, 2008
Hotel Reservation Form Advances in Cosmetic & Medical Dermatology
February 25 - March 1, 2008
Any reservation received after this date cannot be assured of hotel space or the group rate.

HTC INTERNATIONAL • 333 N Michigan Ave. • Chicago, IL 60601
FAX: 312-263-0077 • Phone: 312-263-1007 • E-mail: htcintl_info@htcintl.com