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2018 ASA & CSSA Annual Meeting November 4–7, 2018 · Baltimore, Maryland

STUDENT ROOM BLOCK REQUEST FORM

REQUEST FOR 5 OR MORE ROOMS

CONTACT INFORMATION RESEVATION DEADLINE: OCTOBER 10, 2018

|Contact First Name: |Last Name: |

|School/University: |

|Address: |

|City: |State: |Zip: |Country: |

|Phone: |Fax: |

|Email (required to receive confirmation): |

HOTEL PREFERENCE: Review hotels below and indicate your hotel choices in order of preference. Requests will be honored on a first-come, first-served, space available basis. Submit your request as soon as possible for the best opportunity of receiving your hotel choice.

|Preference |Hotels |Room Rates* |

| | |Single |Double |Triple |Quad |

| |Hyatt Regency Baltimore– Headquarter Hotel |$199 |$199 |$209 |$219 |

| |Baltimore Marriott Inner Harbor |$188 |$188 |$208 |$218 |

| |Renaissance Harborplace Hotel |$178 |$178 |$198 |$208 |

| |Hampton Inn Downtown Convention Center |$165 |$165 |$175 |$185 |

| |Days Inn Inner Harbor |$169 |$169 |$179 |$189 |

| | | | | | |

| |Hilton Baltimore Convention Center |$202 |$202 |$212 |$222 |

| |Government per diem rate offered to Federal and active duty military, based on availability |

*Room rates above include complimentary in-room Internet access however, the Marriott requires guests to be a Marriott Rewards Member to receive access. Guests may sign up at . Room rates do not include 15.5% room tax (subject to change).

** Government credentials required at check-in.

Below, please indicate the number of rooms (by bed type) you require each night. Your night by night room block (pattern) that you select will affect your hotel placement, therefore, be accurate and conservative.

Room Type |FRI 11/2 |SAT 11/3 |SUN 11/4 |MON 11/5 |TUE 11/6 |WED 11/7 |THU 11/8 |FRI 11/9 | |One Bed: | | | | | | | | | |Two Beds: | | | | | | | | | |TOTAL ROOMS | | | | | | | | | |

TERMS & CONDITIONS

Once your block is confirmed, you will receive a Block Confirmation Letter via email with instructions for submitting your rooming list.

ROOMING LIST Due Date – September 20, 2018: A complete rooming list with names and arrival/departure dates for each reservation must be submitted. After this date rooms without individual names will be released.

All rooming lists must be accompanied by individual credit card guarantee or check for one night’s room and tax deposit. Reservations received without a valid guarantee/deposit will not be processed.

CANCELLATION: Reservations cancelled after September 20, 2018 will be subject to a $40 cancellation fee for each room cancelled. Reservations cancelled within 72 hours of arrival will be charged a penalty equal to one night’s room and tax.

EARLY DEPARTURE FEE: Hotel may charge an early departure fee if you check out prior to your scheduled departure date.

( I have read agree and agree to the Terms & Conditions.

Name: ________________________________________________ Signature: __________________________________________________

Return completed form to Paula Eggleston at Visit Baltimore:

Mail: Email: peggleston@ (800) 282-6632 US Toll-free

100 Light Street, Floor 12 (410) 837-4636 International

Baltimore, MD 21202 Fax: 410-659-8398 8:30 am – 5:30 pm CT, Mon–Fri

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