NYSMATYC Annual Conference
- April 12 - 14, 2002
Holiday Inn Arena, Binghamton,NY Hotel Registration Form
Hotel reservations
should be made directly with the hotel. Phone reservations accepted 607-722-1212
Y ou must identify yourself as a NYSMATYC conference participant in order to
receive conference rate
ARRIVAL: Friday, April 12, 2002 DEPARTURE: Sunday, April 14, 2002
Conference Package Rates are quoted Per Person Per Stay: Single $ 274.41 Double $187.83
Conference Rates include: 2 Nights Lodging, 2 Breakfasts, 2 Lunches, 2 Dinners Gratuities on Food & Beverage.
One night package: Single: $138.36 Double: $ 95.17 includes one night lodging, lunch, dinner, breakfast next day
Individual Meal Packages: breakfast: $ 9.38 lunch: $ 15.00 Friday dinner: $ 25.00 Banquet: $ 27.50
Total Meal Package (no lodging): $ 101.25 2 dinners, 2 lunches, 2 breakfasts
To confirm your room reservation, a Deposit of $100.00 is due by Friday, March 22, 2002 in the form of a Check or major Credit Card. Reservations received after Friday, March 22, 2002 will be accepted upon availability.
Cancellations must be received by April 10, 2001. After this date a cancellation fee equal to one nights stay will be charged.
Final payment arrangements for your stay will be required upon arrival in the form of Cash or major Credit Card.
All rates are subject to 11% Tax, unless Exempt
Name_____________________________________Roommate*___________________________________
College/Affiliation_________________________________________________________________________
Street ___________________________________________
City/State/Zip_____________________________________
Telephone # ______________________________________
Fax #____________________________________________
*Please submit only ONE form per room with all roommates listed on ONE form.
An additional signed Tax Exempt form is required for each Exempt Roommate
Single ___ Double ___ 2 beds ___ 1 king bed ___ Request for: Smoking ___ Non-Smoking ___ Granted Based on Availability
ARRIVAL ____________ DEPARTURE ______
Check # _______TOTAL DEPOSIT $ _______Credit Card#:________________Exp. ________
Make phone reservations with credit card or submit form and deposit by Friday, March 22 to:
Holiday Inn Arena 2-8 Hawley Street Binghamton,NY 13901-3199 Telephone 607-722-1212
Telephone Reservations must identify NYSMATYC Conference to receive package rate.
If you require written confirmation please check __
EXEMPTION CERTIFICATE
- TAX ON OCCUPANCY OF HOTEL ROOMS
STATE OF NEW YORK-Operators of hotels, etc. should not accept this certificate
unless the officer or employee presenting it shows satisfactory credentials.
TO BE RETAINED BY VENDOR AS EVIDENCE OF EXEMPT OCCUPANCY.
Vendor: Holiday Inn Arena,Binghamton, NY 13901-3199 Date: ___________________________________
This is to certify that I, the undersigned, am a representative of the United States Government department, agency or instrumentality indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been or will be paid for by such governmental unit; and that such charges are incurred in the performance of my official duties as a representative or employee of such governmental unit.
Dates of Occupancy:____________________ Signature:________________________________________________
Governmental Unit:_________________________ Title:____________________________________________________
NOTE: A SEPARATE EXEMPTION CERTIFICATE IS REQUIRED FOR EACH OCCUPANCY AND FOR EACH REPRESENTATIVE OR EMPLOYEE