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Executive Committee & Business Board of Advisors Meeting
April 8 - 10, 2010

Marriott Wardman Park Hotel
2660 Woodley Road, NW Washington, DC 20008

BBA REGISTRATION FORM
*** Online Registration open until Thursday, March 25th 2010 ***

Personal Information
Last Name:

First Name:

Title:
Company/Affiliation:
Address:
City:

State:

Zip Code:    

Phone: (area code)

Fax:
Email:
Spouse/Guest:

(For special events head count, important to include your guest(s) name)

 
MARRIOTT HOTEL ROOM RESERVATION
I will require hotel reservations for the evening(s) of:  (Please check all nights that apply)

Thursday, April 8th

Friday, April 9th
DO YOU NEED ADDITIONAL NIGHTS? NHCSL can request for additional nights at the group rate of $229 per night plus applicable taxes (at own expense & on an availability basis only).
Indicate extra nights:

Room Preference: (Room type is on a request basis and is not guaranteed)

Smoking

Non - Smoking

King Bed

Queen Bed
2 Queen Beds
FREQUENT FLYER/MARRIOTT#:
Comments and/or special requests:

Credit Card Information: American Express Master Card   Visa Other:
**The hotel requires a credit card number to guarantee room reservation**

Number:

Exp. Date:

Name: (as it appears on the card)
Special Assistance
Accessibility Assistance
Other Needs
For further special assistance information, contact NHCSL at (202) 434-8070
SCHEDULE OF EVENTS

CHECK ALL EVENTS YOU PLAN TO ATTEND. 

Thursday, April 8th
   

2:00 pm – 4:00 pm

NHCSL Task Force Meeting

7:00 pm – 9:00pm

NHCSL Welcome Reception (May be offsite)

 
Friday, April 9th
 

10:00 pm – 2:00 pm

NHCSL Obesity Summit (Lunch served)  

 
Saturday, April 10th
 
9:00 am – 12:00pm

NHCSL Executive Committee & BBA Meeting
(Breakfast served)

TERMS & CONDITIONS (PLEASE READ)

ROOM CANCELLATION POLICY: Room reservation cancellations must be made 72 hours prior to arrival date. When I cancel my reservations within 72 hours of arrival I will be required to pay a cancellation fee of one night’s room and tax and the hotel will cancel my entire reservation. If I do not arrive at the hotel on the date indicated on my registration form, I will be considered a “no show”. Hotel changes or cancellations must be submitted in writing to the NHCSL registration office 72 hours in advance of arrival date.

I have read and understand the above terms & conditions

For more information call Rhina Villatoro at 202-434-8070 or via e-mail at rhina@nhcsl.org

 
 

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