2021 Convention Room Registration Form

Fair/Celebration or Associate Business Name *
Please indicate if you are a Fair/Event Member or Associate Member

Please indicate if you are a Fair/Event Member or Associate Member Fair, Festival or Event Associate Member
Contact Person *
Contact Person Address Contact Person Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Person Email *
Phone Phone * - ### - ### ####
Fax Fax - ### - ### ####
Room Reservations must be received by the hotel by October 15, 2021
or the rooms will be made available to the general public
Number of Rooms Required - If more than 5 please fill out two forms, do not duplicate room requests on multiple forms.
Price per room plus tax $ Dollars . Cents
Credit Card Information For Room Reservations

The following will be provided to the hotel for reservation purposes
Name on Card
Billing Address, City, State and Zip
Card Number
Expiration Date
3 Digit Code
Draw your signature into the box below.

Draw or Type

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Full Name

I understand this is a legal representation of my signature.
ROOM RESERVATION INFORMATION

Please fill out the below for each room you are reserving.
Room # 1 Name on Room
# of Persons Occupying Room #1
Room #1 Arrival Date Room #1 Arrival Date / MM / DD YYYY
Room #1 Departure Date Room #1 Departure Date / MM / DD YYYY
Room #1 Beds

Room #1 Beds Two Queen Beds King Bed Remove Beds - Room will be used for Hospitality
Special Requests - Room #1 - is this a room your organization has occupied in previous years? If you wish to have the same room as previous years, please indicate the room number or location occupied.
Room #2 Name on Room
# of Persons Occupying Room #2
Room #2 Arrival Date Room #2 Arrival Date / MM / DD YYYY
Room #2 Departure Date Room #2 Departure Date / MM / DD YYYY
Room #2 Beds

Room #2 Beds Two Queen Beds King Bed Remove Beds - Room will be used for Hospitality
Special Requests - Room #2 - is this a room your organization has occupied in previous years? If you wish to have the same room as previous years, please indicate the room number or location occupied.
Room #3 Name on Room
# of Persons Occupying Room #3
Room #3 Arrival Date Room #3 Arrival Date / MM / DD YYYY
Room #3 Departure Date Room #3 Departure Date / MM / DD YYYY
Room #3 Beds

Room #3 Beds Two Queen Beds King Bed Remove Beds - Room will be used for Hospitality
Special Requests - Room #3 - is this a room your organization has occupied in previous years? If you wish to have the same room as previous years, please indicate the room number or location occupied.
Room #4 Name on Room
# of Persons Occupying Room #4
Room #4 Arrival Date Room #4 Arrival Date / MM / DD YYYY
Room #4 Departure Date Room #4 Departure Date / MM / DD YYYY
Room #4 Beds

Room #4 Beds Two Queen Beds King Bed Remove Beds - Room will be used for Hospitality
Special Requests - Room #4 - is this a room your organization has occupied in previous years? If you wish to have the same room as previous years, please indicate the room number or location occupied.
Room #5 Name on Room
# of Persons Occupying Room #5
Room #5 Arrival Date Room #5 Arrival Date / MM / DD YYYY
Room #5 Departure Date Room #5 Departure Date / MM / DD YYYY
Room #5 Beds

Room #5 Beds Two Queen Beds King Bed Remove Beds - Room will be used for Hospitality
Special Requests - Room #5 - is this a room your organization has occupied in previous years? If you wish to have the same room as previous years, please indicate the room number or location occupied.
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2021 Convention Room Registration Form

Credit Card Information For Room Reservations

ROOM RESERVATION INFORMATION