Rheumatology Winter Clinical Symposium

Hotel Reservation Form

Wailea Marriott Resort + Spa Location of meeting, seminars + workshops	Daily Rate *	Deposit	Reservation Deposit
~~Garden View~~ (Sold Out)	~~$265~~	~~x 2 Nights~~	~~$530~~
Ocean View	$320	x 2 Nights	$640
Ocean Front	$365	x 2 Nights	$730
Deluxe Ocean Front	$400	x 2 Nights	$800

Grand Total Deposit Reservation Deposit + Tax *
$

* You must add a Daily Resort Fee of $25 per room to the above shown rates. You must also add Hawaii State Tax of 11.41% to all rates shown above (subject to change).

Limited number of rooms available. We strongly encourage participants to reserve early to insure a room in their desired category. No reservation will be confirmed without a form of deposit.

DEADLINE DATE: DECEMBER 1, 2008. Any reservation received after this date cannot be assured of hotel space or the group rate.

Special Requests (Please Check): No Smoking Room Smoking Room King Bed 2 Double Beds

Requests are not guaranteed by HTC, RWCS or the hotel. Hawaii State Law prohibits more than 4 persons per room.

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

Deposit/Cancellation Policy - An initial deposit, equaling a two (2) night stay, is required in order to confirm your reservation. After November 1, 2008, this deposit in non-refundable in the event of cancellation. All cancellations must be done in writing to HTC.

Change Policy - Any changes made to a reservation after the initial confirmation is subject to a $25 administrative fee. Any reduction in the total room nights reserved after November 1, 2008 may be subject to penalty. All changes must be done in writing to HTC.

ADA Statement - For disability accommodations, please contact HTC International at 312-263-1007.

Method of Payment for Deposit

CHECK: payable in USD to HTC International AMEX VISA MASTERCARD

Card Number: Exp Date: CID:

Name on Card:

Mail payments to: HTC International , 333 North Michigan Avenue, Suite 1820, Chicago, IL 60601

312-263-1007 Phone • 312-263-0077 Fax • htcintl_info@htcintl.com Email • www.r-w-c-s.com Website

* Denotes Required Field

* Name of Primary Registrant:

* Address:

* City:

* State:

* Zip Code:

* Phone:

Fax:

* Email:

* Confirm Email:

* Contact Person:

First Name Last Name
Age
(if under 18)

1.

2.

3.

4.

* Hawaii State Law prohibits more than 4 persons per room.

Arrival Date: Departure Date:

Remarks/Comments:

For any questions, please contact HTC INTL at 312-263-1007 or via email bjohnson@htcintl.com.

Administrative Office:
Rheumatology Winter Clinical Symposium 2009
41 East Lipoa Street, Suite 21 Kihei, HI 96753

Contact:
Phone 858-385-0785 Fax 858-683-2027
Email information.services@r-w-c-s.com