2019 Annual Meeting on Women's Cancer Group Hotel Reservation Form

Question Title

* 1. Group Information

Group Representative Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

Requests for 10 or more rooms are considered a group.

Upon receipt of this request, the SGO Housing Bureau will verify availability. This form must be complete, including the hotel preference and number of rooms needed per night.

Room blocks will be confirmed on a first come, first serve basis.

The group housing deadline is Friday, January 18, 2019.

Question Title

* 2. Please indicate below the number of rooms needed on each night.

	Wed, 3/13/19	Thur, 3/14/19	Fri, 3/15/19	Sat, 3/16/19	Sun, 3/17/19	Mon, 3/18/19	Tue, 3/19/19	Wed, 3/20/19
1 King Bed	1 King Bed Wed, 3/13/19 menu	1 King Bed Thur, 3/14/19 menu	1 King Bed Fri, 3/15/19 menu	1 King Bed Sat, 3/16/19 menu	1 King Bed Sun, 3/17/19 menu	1 King Bed Mon, 3/18/19 menu	1 King Bed Tue, 3/19/19 menu	1 King Bed Wed, 3/20/19 menu
2 Double Beds	2 Double Beds Wed, 3/13/19 menu	2 Double Beds Thur, 3/14/19 menu	2 Double Beds Fri, 3/15/19 menu	2 Double Beds Sat, 3/16/19 menu	2 Double Beds Sun, 3/17/19 menu	2 Double Beds Mon, 3/18/19 menu