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Pre-Registration Form
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For reservations call the reservations department, or
fax or mail this form to the following:
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| W Chicago Lakeshore |
Attention: Reservations
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| 644 North Lakeshore Drive |
Chicago, Illinois 60611 USA
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| Tele: 312.943.9200 |
Toll Free: 877.946.8357
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Fax: 312.943.8077
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| Group Name: | The Chartered Institute of Arbitrators North American Branch |
| Group Dates: | May 29, 30, 31 and June 1, 2002 Chicago, Illinois USA |
Guest Name: _______________________________________ # in Party: __________
Phone: (_____)_______________________ Fax: (_____)______________________
Address: _____________________________________________________________
City______________________________State___________Zip__________________
Arrival Date: _________________, 2002 Departure Date: _________________, 2002
Deposit/Cancellation Policy:
[NOTE: This hotel is across the street from Northwestern, the school where the courses will be conducted.]
Credit Card Information (Please Note: A deposit equal to a one-night stay will be charged to your credit card.):
Circle One: Master Card Visa American Express Diner’s Club Carte Blanche
Credit Card Number: ____________________________________________________
Expiration Date: ________________________________________________________
Card Holders Name as it appears on card: ___________________________________
SIGNATURE:_____________________________ DATED:_________________, 2002
Desired Accommodations:
May 29, 30, 31, and June 1, 2002
| Price | Bed Request (upon availability) | |
| Single/Double Occupancy $199.00 | ||
| Rates do not include breakfast. | King_____ | Two Doubles______ |