veinforum.memberclicks.net · Web viewPer your request, we will book your room reservation. If you...
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Hotel Reservation Form Fall Fellows/Res/EC Dec. 6-7, 2019 Registrant Information First Name Last Name Cell Phone Work Phone Email Hotel Nights Arrival: Departure: Your hotel reservaon will not be completed unl we receive your completed form. The AVF will provide you two nights hotel stay for the course. We will book your hotel rooms once the form is completed and returned. Please provide a credit card that expires aſter Dec. 2019. Name on Card Card Number Exp Date (mm/yy) CVS Per your request, we will book your room reservaon. If you do not show to the course or cancel within 72 hours of the course (Dec. 6,2019) in wring, your credit card will be charged for your hotel room stay. Any quesons, please contact the AVF office at [email protected] . Please return your completed form to [email protected] .
Transcript of veinforum.memberclicks.net · Web viewPer your request, we will book your room reservation. If you...
Hotel Reservation Form
Fall Fellows/Res/EC Dec. 6-7, 2019
Registrant Information
First Name
Last Name
Cell Phone Work Phone
Hotel Nights Arrival: Departure:
Your hotel reservation will not be completeduntil we receive your completed form.
The AVF will provide you two nights hotel stay for the course. We will book your hotel rooms once the form is completed and returned. Please provide a credit card that expires after Dec. 2019.
Name on Card
Card Number
Exp Date (mm/yy) CVS
Per your request, we will book your room reservation. If you do not show to the course or cancel within 72 hours of the course (Dec. 6,2019) in writing, your credit card will be charged for your hotel room stay.
Any questions, please contact the AVF office at [email protected]. Please return your completed form to [email protected].
