Home >   Hotel Only Full Payment 5 Nt (Deluxe Ocean View)
	Our Price: $2,086.00 Registrant Information Pre-Title: (Select one) Dr Miss Mr Mrs Ms    First Name*: Middle Initial: Last Name*: Suffix: (Select one) Jr Sr III IV Other    For "Other" suffix, please note in Remarks section below. Hotel Reservation Cancellation Policy*: _I certify that I have read and understand the Cancellation Policy for the 2010 Kaiser Permanente National Pediatric Conference. I accept responsibility for purchasing optional Trip Cancellation Insurance (recommended) to protect against possible financial loss in the event of a last-minute cancellation of my hotel package. Check-In Date: Use format MM/DD/YYYY; date you will arrive Check-Out Date: Use format MM/DD/YYYY; date you will depart Bed Request: Number of beds - Enter 1 or 2; hotel cannot guarantee Special Request: *Enter special room requests. Indicate if reserving more than one room, or if sharing a room with another attendee. Hotel cannot guarantee special requests. Full Guest Names In This Room Guest 1 or Self: Guest 1 Age: Enter age if under 18 Guest 2: Guest 2 Age: Enter age if under 18 Guest 3: Guest 3 Age: Enter age if under 18 Guest 4: Guest 4 Age: Enter age if under 18

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