HOTEL REGISTRATION FORM

HOTEL REGISTRATION FORM

Print out this page, complete form and return directly to Abe Martin Lodge.

Note: Because conference registration is limited, you are encouraged

to register for the conference before securing a hotel room.

Hotel space does not ensure meeting registration space.

Group Name: TRANSITION COW - DISCOVER CONFERENCE

Group Number: 261

Arrival Date: August 29, 1999

Departure Date: September 1, 1999

Make reservations in advance.

The date for your group is listed above. Any variation is subject to availability.

Last Name: _____________________________________________________________________________________

First Name: _____________________________________________________________________________________

Middle Initial: ______________________

Home Phone Number: (_______)___________________________________________________________________

Work Phone Number: (________)__________________________________________________________________

Address: _______________________________________________________________________________________

________________________________________________________________________________________________

The following rates and accommodations are allocated to your group. Accommodation requested is subject to availability at time request is received and it is not guaranteed that your request will be granted. Only the reservation can be guaranteed.

Lodge Room @ $71.50/night

I plan to arrive on: ______________________________________________________________________________

(Abe Martin Lodge does not accept Saturday night only reservations.)

I plan to depart on: _____________________________________________________________________________

Type of accommodation requested (see Conference Accommodations Information for description of room types):

1st choice: _______________________________________ # of rooms: _________________________________

2nd choice: _____________________________________ # of rooms: __________________________________

Do you need a smoking room? [ ] Yes [ ] No

I am enclosing $_________________ for the cost of my first night’s lodging (per room).

[ ] Money order payable to: "The Abe Martin Lodge"

[ ] Check payable to: "The Abe Martin Lodge"

[ ] Charge my credit card: [ ] AmEx [ ] Discover [ ] VISA [ ] MasterCard

Account # _____________________________________________

Expiration Date _________________________________________

Signature ______________________________________________

Enclose in an envelope by July 29, 1999 and mail to:

Abe Martin Lodge

Attn.: Sales Office

PO Box 547

Nashville, IN 47448 Phone: 812/988-4418 FAX: 812/988-7334