The National Grange of the Order of Patrons of Husbandry

Annual Convention Hotel Reservations

Hyatt Regency Rochester Hotel Reservation Request Form
Please print and return to:
Hyatt Regency Rochester, 125 East Main Street, Rochester NY 14604
Phone: 585-546-1234 | Fax: 585- 546-6777
Group Name:
National Grange 2004 Annual Session 		Function Dates:
November 9-13, 2004
Accommodations
Single - One Person$94.00  Special Requirements: (If available)
Double - Two People$94.00  One King BedTwo Double Beds
Triple - Three People$94.00  Non-Smoking Rollaway (additional Charge)
Quad - Four People$94.00 Accessible RoomOther: _________________
 
Suites are available. Contact the hotel directly for rates.
Name: ___________________________________ Arrival Date: _________ Departure Date: __________
Company Name: _____________________ Phone: __________________ Gold Passport # __________
Street Address: ________________________________________________________________________
City: __________________________ State: ___________________ Zip Code: _____________________
Roommate's Name: ________________________ Arrival Date: __________ Departure Date: _________
 
Cut Off Date:
You must make your reservation by October 25th in order to be guaranteed the group rates. Reservations received after October 25th are subject to availability and prevailing rates.

Guarantee: All reservations must be guaranteed by the individual. A guarantee may take the form of an advance deposit for the first night's lodging or an appropriate valid credit card number and expiration date. Failure to cancel a guaranteed reservation prior to 4pm on the scheduled day of arrival will result in a no-show charge equal to one night room and tax.

Deposit Amount: $________________

Check Money Order Visa MC Amex Discover Diners Club

Name on Card (print): _________________________ Signature: ________________________________

Credit Card #: ______________________________________ Exp. Date: ________________________


Confirmation: A confirmation will be mailed upon receipt of this form. Any changes to this reservation within 48 hours of arrival date (including early departure) are subject an administrative fee.

Check-in/Check-out: Our check in time is 3:00pm and our check-out time is 12:00pm. If arriving early, luggage may be stored with our guest service staff.

Tax Exempt Status: To be tax exempt a tax-exempt form must be presented and payment must be made by company check or corporate credit card with company name printed on it. All other transactions will be taxable (above rates do not include taxes)

1. NYS TAX EXEMPTION: If a NY State Employee is settling his/her account with personal funds (i.e. personal credit card, cash, personal check...) Form AC 946 must be presented to qualify for Tax Exemption.

2. TAX EXEMPTION ORGANIZATION: If payment is made directly through a Tax Exempt Organization, Form ST 1191 must be presented. Said form does not qualify an individual to be exempt from any taxes incurred through incidental charges (i.e. meals...) when those charges are settled with personal funds.

Please print and return to:
Hyatt Regency Rochester, 125 East Main Street, Rochester NY 14604
Phone: 585-546-1234 | Fax: 585- 546-6777

 
NATIONAL GRANGE OF THE PATRONS OF HUSBANDRY
1616 H Street NW • Washington, DC 20006
(888) 4-GRANGE • (202) 628-3507 • Fax: (202) 347-1091
Contact National Grange • Contact Webmaster • Trademark Information