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Omni Richmond Hotel This form should be mailed to the address given below as soon as possible to get the conference rate. Only a limited number of rooms are available at this rate. Please reserve a room for me at the Omni Richmond Hotel. [ ] Single: $105.00 (plus tax) per day [ ] Double:* $52.50 (plus tax) per day per person [ ] I need no hotel reservation. [ ] I prefer a smoking/non-smoking room. * You are responsible for finding your own roommate. If you need help in this regard, please contact us. If you wish to guarantee your room, a deposit of full room rent for one night must be made to the hotel. The deposit can be in the form of a check made out to Omni Richmond Hotel (drawn in U. S. banks only - otherwise a surcharge will be applied) or by using a major credit card. The following information should be supplied. Credit Card Type [ ] Master Card [ ] Visa [ ] American Express Credit Card Number_______________________________________________ Expiration Date___________________________________________________ Name as given on the card_______________________________________ Authorizing Signature______________________________________________ Arrival date _____________________________
Time ____________________
Departure Date ___________________________
Time ___________________
Please print off this form from your browser, fill out, and mail the completed form to: ISCANI
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