Hotel Request

HOTEL SELECTION

Please select a first and second hotel choice:

First Choice:

Rates/Room Type:
Second Choice:

Rates/Room Type:
ACCOMMODATIONS

I am an  Attendee   Exhibitor
ROOM 1


Smoking Preference:
 Yes    No
Bed Preference:
 King Bed    2 Double Beds
  • Room Type:
Name of guest(s) for this reservation:
1. 
2. 
3. 
4. 
Special Requests
MAIL CONFIRMATION TO HOME  WORK
First Name:

 Middle Initial:
 Last Name:
Mailing Address:
Country:   
City:

 State:
 Zip Code:
Home Phone:
 Business or Other Phone:

 E-mail Address:
PAYMENT METHOD
Card Type:
Visa    Mastercard
American Express    Discover 		Account Number:
 Expiration Date:
    

Cardholder’s name as it appears on the credit card:

For safety reasons, strollers and children under 12 are not allowed
inside the Exhibit Hall, General Session or Classrooms.

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The International Congress of Esthetics and Spa
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