Maine Society of Health Systems Pharmacists

2005 Annual Meeting

Individual Reservation Form

Grand Summit Resort Hotel & Conference Center at Sunday River

 

ARRIVAL:  Wednesday, February 16, 2005          DEPARTURE:  Friday, February 18, 2005

 

 

Lodging Preference

 Nightly Lodging Rate

 Deposit Required

Standard Room

(2 queen beds)

(   ) $110.00++ single / double occupancy

One night’s deposit

Studio Superior

(1 queen Murphy bed & kitchenette, sleeps 2)

(   ) $110.00++ single / double occupancy

One night’s deposit

Studio Deluxe

(1 queen Murphy, 1 sleep sofa & kitchenette, sleeps 4)

(   ) $110.00++ single / double occupancy

One night’s deposit

1 Bedroom Suite

(1 queen bed, 1 sleep sofa & kitchenette, sleeps 4]

(   ) $250.00++ single / double occupancy

One night’s deposit

 

Please check your lodging preference, rate and deposit. 

 

Please indicate-- Arrival day/date: __________________    Departure day/date:__________________

 

The above rate includes one night lodging of your requested occupancy at The Grand Summit Resort Hotel and the use of all hotel amenities.  ++ refers to a state tax of 7% and a 5% housekeeping gratuity.

 

Reservation with one night deposit must be received by  February 1, 2005.  Group rate and availability cannot be guaranteed beyond this date.   Based on availability the above conference rate will be offered up to 2 days prior the contracted dates of the conference event.

 

When making a reservation, please refer to group code:                         -# 844226

 

Last Name ______________________________________   First ________________________________________________

 

Company  _______________________________________________   Phone # _____________________________________

 

Address  _____________________________________________________________________________________________

 

City  _____________________________________________________________________  State  ________   Zip __________

 

No. of guests _______   Special Requests  __________________________________________________________________

 

Will be sharing room with *  ______________________________________________________________________________

 

Credit Card ______________________   Card #  _______________________________________   Exp. date _____________

* To sign up for anything but single occupancy, all roommates must provide billing/credit card information on this form.  In addition, Sunday River needs a deposit from all roommates.  Sunday River is not responsible for matching roommates; roommates’ names must be provided.  Cancellation policy is applicable regardless of the occupancy.

 

To participate in this event, please complete this form and mail it to Sunday River, PO Box 450R, Bethel, ME  04217 or FAX this form directly to our Reservations Office at 207-824-5195. 

If you have questions, please call the Reservations Office at 1-800-430-0767 between 8 AM - 5 PM, Monday through Friday.  Sunday River accepts checks, Mastercard, Visa, American Express, and Discover.  A deposit in the amount of one night’s lodging and/or package rate is due within five days of booking a reservation.  The reservation will be canceled if the deposit is not received within the five-day period.  For refund of deposit, less a $50.00 cancellation fee, notification of cancellation must be received at least 14 days prior to the scheduled arrival.  The entire deposit will be forfeited if cancellations are made 14 days or less prior to scheduled arrival.

 

Signature ____________________________________________________________________  Date  ___________________

 

Check-in time is 4:30 PM.  Check-out time is 10:30 AM.  Unless indicated, the above rates are subject to a 7% Maine State Tax and a 5% Housekeeping gratuity.