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NASSP Convention
The Principal's Journey
Reservation Form
 Orlando, Florida - February 26 - March 2, 2004

To ensure accuracy, please type or legibly print all information.

State Association - West Virginia                                                 

Hotel Assigned:  Embassy Suites, Jamaican                                                

Name (Last, First)_______________________________________________________

School/Org._____________________________________________________________

Address _______________________________________________________________________

City, State, Zip+4 __________________________________________________________________

Daytime Telephone Number __________________________Daytime Fax No._________________________

If NASSP Member, Membership # _____________________________

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Type of Room ___Single (1 person) ___Double (1 bed: 2persons) ___Dbl/Dbl (2 beds: 1-4 persons)
___Triple (3 persons) ___1 Bedroom Suite* ___2 Bedroom Suite*

Sharing room with ________________________________________________________________
                                         (Please list this person's name on the line above; do not list this person as a separate room request.)

Arrival Date ___________________________  Departure Date ____________________________

Prefer            ___Smoking      ___Non-smoking

Special Housing Requirements (Please note) ____________________________________________________
* Suites subject to availability.

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GUARANTEE

Credit Card Type   ___MC          ___ Visa            ___American Express

Account Number ______________________________   Expiration Date _______________________

Name (as it appears on the card) _______________________________________________________

Cardholder signature _________________________________________________________________
                                                 (Note:   Card will be charged by hotel assigned or used to guarantee the reservation)

State _________________________   Zip Code __________________ (from address of credit card holder)

Check (If guarantee paid by check, make payable to the NASSP Housing Bureau and fill-in below):

          Check # ______________________________       Amount   $_______________________________

 
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