Pediatric Academic Societies’ Annual Meeting
May 1-4, 1999 ~San Francisco, California, USA
HOUSING INFORMATION AND RESERVATION INSTRUCTIONS
Reservation must be received by March 25, 1999

Deposit: A $150.00 US per room deposit is required to make a reservation and $300/ 1 bedroom suite and $450/ 2 bedroom suite US deposit is required to reserve a suite. The deposit amount is payable by credit card (telephone or fax only) or check (mail only). The credit card will be charged immediately. All major credit cards are accepted. If paying by check, please mail your payment with this housing form. Confirmation: Confirmation will be mailed or faxed once your reservation has been secured with a deposit. You will not receive a confirmation from your hotel. If you do not receive confirmation within 72 hours, please call the housing bureau. Please have the following information ready when you call: Name of convention: PAS 1st, 2nd, 3rd, 4th, 5th, choice of hotel Arrival and departure date Type of room (single or double) Number of occupants and names Name as it appears on the credit card Type of credit card and number with valid expiration date Mailing address Phone, fax number, E-mail address Reservation number given: _____________________________ Changes/Cancellations: Prior to April 1, 1999, all changes and cancellations in hotel reservations must be made with the SF Housing Bureau. Your deposit is fully refundable, if you cancel your reserevation before April 1. After

April 1, 1999 and prior to 72 hours before arrival date, changes and cancellations must be made with your assigned hotel. For any cancellation up to 72 hours before arrival date, the deposit will be returned less $15.50 processing fee. Any cancellations made within 72 hours of the arrival date will result in the forfeit of the full deposit. NOTE: If you reserve 10 rooms or more the cancellation cut-off is March 25, 1999. After this date, the deposit will be forfeited. The maximum number or rooms you can reserve is 10 rooms per hotel. Hotel Choices: Indicate choice of hotel (Click here for hotel descriptions, rates, and map): 1. _____________________________________________________ 2. _____________________________________________________ 3. _____________________________________________________ 4. _____________________________________________________ 5. _____________________________________________________ Number of rooms: ______________________________________ Type of room__________________________________________ Single (one bed, one person) Triple Double (one bed, two persons) Quad Double/Double (two beds, two people) One Bedroon Suite Two Bedroon Suite If one of your choices above is not available, please indicate which factor is most important to you: Lowest rate available Hotel close to the Moscone Center Special Requests _______________________________________

Payment Information:
Check Enclosed Visa Mastercard American Express Diner’s Club Discover

Credit Card Number ________________________________________ Exp. Date ________________________________________________

Name of Cardholder ________________________________________ Signature of Cardholder ______________________________________

Mail or Fax Confirmation to: Institution or Company __________________________________________________________________

Last Name _______________________________________ First Name ________________________________________________________

Address __________________________________________ City ____________________________ State/Province ____________________

Country _________________________________________ Zip/Postal Code ____________________________________________________

Phone ________________________________ Fax ________________________________ E-mail _________________________________

By Phone US and Canada 1-800-424-5256 International 1-847-940-2154 (if making reservations by telephone, deposit must be paid by credit card)

By Fax Complete form and send by the housing fax to: US and Canada 1-800-521-6017 International 1-847-940-2386

By Mail If you check, complete the form wish to pay by and mail it with your check. Checks should be made payable to: SF Housing Bureau in US funds drawn on a US Bank. Mail to: San Francisco Housing Bureau 108 Wilmot Road, P.O. Box 825, Suite 400, Deerfield, Il 60015-0825