|
LEGISLATIVE
FLY-IN 2004
REGISTRATION FORM |
| | | | | Lodging: | Club
Quarters
839 17th Street, NW
Washington, DC 20006
Phone: (202) 463-6400 | | | | | | | Cost:
| Standard
Executive Type Room
Standard
Director Type Room | $114.00
per night + tax
$129.00
per night + tax |
Washington,
DC hotel tax is currently 14.5% Please
note: there is an extra $13.00 charge per extra guest per room Costs
for parking are included in this rate. Please discuss parking costs and arrangements
directly with Club Quarters at the above telephone number. Participants
are responsible for their own airfare, transportation, to and from the airport,
parking and some meal expenses. Reservations
can be made on an individual basis by dialing (212) 575-0006. Please be aware
that reservations made individually and not through the National Grange are not
guaranteed.
| Print
out and return to National Grange, 1616 H Street NW., Washington, DC 20006-4999 | | | | | ______ | Yes!
I (we) plan to attend the "National Grange Legislative Fly-In 2004!" | | | | | ______ | No,
I'm sorry I (we) can not participate in the "National Grange Legislative Fly-In
2004!" but please send additional information on receiving legislative workshop
materials from Fly-In 2004 by e-mail. My (our) e-mail address is: _________________________________ |
LEGISLATIVE
FLY-IN 2004
RESERVATION INFORMATION |
NAME:
_____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _____________________________________
STATE: _____________ ZIP: ________________ PHONE:
_____________________ FAX: ___________________ EMAIL: _______________________ ARRIVAL
DATE: ___________________________ DEPARTURE DATE: ________________________ The
following information is needed for Fly-In participants only to guarantee a hotel
room for Fly-In 2004. A charge equal to one nights lodging and taxes will be assessed
for any cancellations after April 19, 2004. | Credit
Card Type: |  | Visa | | Master
Card | | American
Express | | Credit
Card Number: | _________
- _________ - _________ - _________ | | Expiration
Date: | ______
/ ______ | | Authorized
Signature: | ___________________________________________ | | (As
it appears on credt card) | |
Note:
For security reasons only, please do not submit credit card information via email.
Please RSVP by April 19, 2004. You
may mail this information to: Joanne
Manelli, Legislative Program Assistant
The National Grange
1616 H Street,
NW
Washington, DC 20006-4999 Or
fax to: (202) 347-1091
| 
