Hotel Registration Request
Eleventh Annual Pediatric Critical Care Colloquium
"Looking to the New Millennium"
September 16-20, 1998
Return registration to:
The Renaissance Chicago Hotel
1 W. Wacker Drive
Chicago, IL 60601
fax (312) 795-3474
It is recommended that you make your reservations by phone directly with the hotel. However, if you prefer to mail your reservation, please complete this form and mail it to the hotel. If you prefer to fax your reservation request to the hotel of your choice, be sure to include your credit card information to guarantee your room. It is your responsibility to confirm that your reservation was received by the hotel.
Please reserve_________ Room(s) for__________ Person(s)
NAME OF SECOND OCCUPANT
Single ___ ($189.00/night)
Double ___ ($189.00/night)
(Club room and suite rates available
NOTE: Check-in time is 3:00 p.m. Check-out time is noon.
***Pediatric Intensive Care Fellows (with a letter from their Fellowship Director) will receive a $50.00/day/room up to a total of $100.00 credit at the Renaissance.***
Reservations are accepted on a first-come, first-serve basis until August 18, 1998. All reservations received after this date will be accepted on a space-available basis only.
First night's deposit (or credit card guarantee) required
____Check ___American Express ____Visa ____Mastercard
Expiration Date__________ Signature__________________________
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