Hotel Reservation Form

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 / January 26 - 30, 2009/ WAILEA, MAUI
Deadline Date: December 10, 2008 - Any reservation received after this date cannot be assured of hotel space or the group rate.

WAILEA MARRIOTT RESORT & SPA (Location of Seminars & Workshops)
Garden View $275.00 Sold Out	Ocean View $315.00
Ocean Front $355.00		x 2 Nights Dep = $ + Tax

GRAND WAILEA RESORT & SPA (Sold Out)
Terrace $290.00	Garden View $360.00
Ocean View $410.00	Deluxe Ocean View $465.00	x 2 Nights Dep = $ + Tax

NOTE: To the above shown rates you must ADD a Daily Resort Fee of $25.00 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.

* Denotes Required Field

LAST NAME, FIRST NAME, AGE (if under 18)

1. DR RN PA MR MRS MS

2. DR RN PA MR MRS MS

3.

4.

Contact Information: (* Denotes Required Fields)

Address:

City: State: Zip Code:

Office Phone: Mobile 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 December 10, 2008 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 December 10, 2008 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 : CID No.
Name as it appears in card: