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2008 MSHA
Annual Conference - Hotel Reservation
Form
March 13-15, 2008
Radisson Plaza Hotel, Kalamazoo, Michigan
To
reserve your overnight accommodations please either register on-line or complete this form and fax or mail
it by: February 20, 2008
to:
Reservation
Dept., Radisson Plaza Hotel, 100 W. Michigan Ave., Kalamazoo, Michigan 49007
Phone: 269/343-3333
FAX: 269/381-1560
Toll Free: 1-800-333-3333 www.radissonkz.com
You may register on-line at: www.radisson.com/kalamazoomi Group promo code: SPEECH
Name:____________________________________________________________________
Address: _____________________________________________________________________
City: ___________________________________ State: ___________ Zip: ________________
Phone: Daytime ( _____ )_________________ Evening (_____) ______________________
Sharing Room With: ____________________________________________________________
Please check preferred accommodations. All rooms are subject to applicable state and local taxes (currently 11%)
Accommodation
Requests:
(Room type requests are based upon availability
at time of arrival.)
_____ ($120.00) Single
_____ ($120.00) Double
____ Smoking _____ Non- Smoking _____KIng bed _____2 double beds _____Rollaway
Arrival Date:
______/______/______
Arrival Time:
___________________
Departure
date: _____/______/_______
Check-in: 4:00 pm Check-out: 12:00 noon
Reservations must be guaranteed with deposit or major credit card.
___ By Check: Amount:
$_______________
____ By Credit Card:
Credit Card Type: (Visa, MasterCard, American Express, Diners Club, Discover) __________________________________________
Credit Card Number: _____________________________________________________________________________
Expiration Date: _________________ Name Card is issued in: ___________________________________________
Signature: ______________________________________________________________________________________
Please ask for the rates for MSHA when making reservations. To guarantee conference rates, reservations must be received by the Kalamazoo Radisson by: February 20, 2008. After that date reservations will be accepted based upon room type availability and conference rates are not applicable.