Group Reservation Request Form PO Box 555 Wrightsville Beach, NC 28480 Fax: 910-256-5502 Phone: 800-541-1161 Web site: www.blockade-runner.com |
| Group No: 8233 Group Name: North Carolina Fall Conference of English Instructors | |
| Name: | _____________________________________________ |
| Address: | _____________________________________________ |
| _____________________________________________ | |
| Home Phone: | _____________________________________________ |
| Business Phone: | _____________________________________________ |
| Fax: | _____________________________________________ |
| Arrival Date: Sunday, October 28, 2001 | |
| Departure Date: Tuesday, October 30, 2001 | |
| Your Arrival Date: __________ Your Departure Date:__________ | |
| Room: | Conference Room Rate Per Night: |
| ___Harbor Deluxe | $75.00 per room, per night, plus tax |
| ___Ocean Deluxe | $87.00 per room, per night, plus tax |
| ___Ocean Balcony | $112.00 per room, per night, plus tax |
| ___Smoking | ___Non-Smoking |
| Rooms are assigned as forms are received. If the room type you have requested is no longer available, you will be booked into another room type. Rates include breakfast and are based on single or double occupancy, per night. There is a $25.00 + 9% tax surcharge per night for each additional person in a room. Children under 12 - no charge. Check in Time: 3:00 p.m. Check-out Time: 11:30 a.m. | |
| Name of person you are sharing room with | _____________________________________________ |
| Advance deposit of first night's room and tax required | |
| Payment Method: | ___Check___Money Order___MC___Visa ___AMEX___Carte Blanche___Diners Club___Discover |
| Card Number:__________________________ Exp. Date:_____ | |
| Note: your credit card will be billed for the 1st night's room and tx upon receipt of this reservation form. Cancellation notice required 72 hours prior to arrival date. Signature_______________________________________________ Please fax completed reservation form to the fax number above. | |