Please complete the following
information and return by June 25, 2003.
This is a reservation request only.
Your group has reserved a block of rooms at the Hyatt Regency
Washington on Capitol Hill. This reservation will be honored until
the block of rooms have been filled or until June 25, 2003. If a
room has been secured for you at the Hyatt Regency Washington on
Capitol Hill, written confirmation will be mailed to you by the
(subject to availability):
Single: One person
King: Two persons - one bed
Double/Double - Two persons - two beds
Rates for suites are available upon
** Rates do NOT include 14.5% sales
tax and US$ 1.50 per room occupancy tax.
Do you require a room
accessible to the physically challenged?
*** Please note: One night's
room deposit must accompany this Reservation Request in order to
confirm your reservation. Upon check-out, you will be charged for
ALL nights confirmed above. Your reservation will NOT be confirmed
until we receive your deposit. In the event you need to cancel,
please do so prior to May 31, 2003 in order to receive a full
deposit refund. After this date, no refund can be made.
Advance deposit can be made by cheque or credit card. If a cheque is
enclosed, please mark here.
If you will be making an advanced
deposit by credit card, please complete the information needed
Street Address: _______________________________________________
City, State: ___________________________________________________
Country: _______________________________ Postal Code: __________
Method of Payment:
Credit Card No.: _________________________
Expiration Date: _________ (month/year)