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Riverside Marriott
Phone (951) 784-8000 * Fax (951) 781-3722 * 3400 Market Street, Riverside, CA 92501

***RESERVATION FORM***

Pacific Southwest District
Lutheran Women’s Missionary League Retreat
February 2-4, 2007

Single, Double, Triple, Quad – All $99 per night, plus 11% occupancy tax
Your reservation must be received no later than January 9, 2007,
in order to ensure accommodations at the above rate.
(Please print or type)
Reservations limited to 200 people.

 

Name __________________________________________________ Phone (___)_________________

Address ____________________________________________________________________________

City __________________________________ State ________ Zip ____________________________

Arrival date ________________________________ Departure date ____________________________

Names of persons sharing room:

1. _______________________________________ 3. ______________________________________

2. _______________________________________ 4. ______________________________________

SPECIAL REQUESTS: ____ Non-smoking Room ____ Smoking Room ____ Handicap Accessible

PARKING: Parking at the hotel is $6 per day with in/out privileges, or $10 per day for Valet.

In making your reservations, we request that you either:
        1. Enclose a check or money order as a first-night room deposit, OR
        2. Guarantee your room with a major credit card number, expiration date, and your signature.

The hotel cannot hold your reservation after 6:00 p.m. on the day of arrival without one of the above.

Deposits will be refunded only if cancellation notification is given 72 hours prior to arrival.

Type of Card _______________ Card # _____________________________ Exp. date __________

I authorize the Riverside Marriott to charge my account for one night’s deposit and all applicable taxes.

Name on Card _____________________________ Signature ________________________________

(Please print)

ROOMS MAY NOT BE AVAILABLE FOR CHECK-IN BEFORE 3:00 P.M. CHECKOUT IS 12:00 NOON. RESERVATIONS REQUESTED AFTER THE CUT-OFF DATE ARE SUBJECT TO RATE AND SPACE AVAILABILITY. PLEASE FAX OR MAIL FORM DIRECTLY TO THE HOTEL.

(Please do not copy on reverse.)