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OMNI Richmond Hotel

RESERVATION FORM

VBC Bioinformatics & Pharmacogenomics Symposium 2002

Omni Richmond Hotel 100 S. 12th St., Richmond, VA  23219

Phone Direct to OMNI Richmond (804) 344-7000

FAX: (804) 344-7250

                   

In making your reservation, we require that you either:

 

1) Enclose a check or money order covering the first night's stay.

2) Send us the entire number of one of the following credit cards: AMERICAN EXPRESS, DINERS CLUB, VISA, MASTERCARD, DISCOVER, OR CARTE BLANCHE. Don't forget the expiration date and your signature.

3) Call or fax the OMNI Richmond directly at the above number or mail to:

OMNI RICHMOND HOTEL, 100 S. 12th. ST., RICHMOND, VA  23219

Deposits will be refunded only if cancellation notification is given up to 24 hours prior to arrival.

 

Rates Available:   June 12-14, 2002  

$115.00 SINGLE (1 person)    $115.00 DOUBLE (2 people)   $125.00 TRIPLE (3 people)   $135.00 QUAD (4 people)

 

Cut off Date: May 31, 2002.

                

Reservations at the special group rate are subject to availability once the contracted room block has filled. After the cut-off-date, your special rate may no longer apply, and you may be charged the best available rate at that time.  Please apply 12.5% sales tax to the above rates.

 

 

PLEASE FILL OUT THE INFORMATION BELOW AND MAIL OR FAX TO OMNI RICHMOND HOTEL.

 

Name (Print)                                                                            Phone                                       

 

Address                                                                                                                             

 

City                                                                              State               Zip Code                      

 

Smoking          Non-Smoking           Please Reserve #            of Rooms for #                   people

 

Arrival date                         Departure date                           King/Queen Bed              Two double Beds           

 

Name(s) of persons(s) sharing accommodations                                                                                        

 

Check or Money Order enclosed                                                                                                       

 

Credit Card #                                                          Exp. Date               Amount #                             

 

 

 

I authorize the Omni Richmond Hotel to charge my account for one night's deposit and all applicable taxes.  Check out is at 12:00 PM.  Check in time is at 3:00 PM. Allow 14 days for confirmation of reservation.

 

 

SIGNATURE                                                                            Date                              

Or to download the reservation form as a Word document, click here.