PETE&C Conference Hotel Waiting List Registration

Please provide your name and contact information.

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* 1. Please provide your name and contact information.

Please indicate which hotel you would like to be placed in if space becomes available. Please mark your first preference with a 1 and your second choice with a  2.

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* 2. Please indicate which hotel you would like to be placed in if space becomes available. Please mark your first preference with a 1 and your second choice with a  2.

What nights do you require lodging?  (Please note that there is a 2-night minimum stay required at the Hershey Lodge.)

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* 3. What nights do you require lodging?  (Please note that there is a 2-night minimum stay required at the Hershey Lodge.)

What type of lodging do you require?

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* 4. What type of lodging do you require?

What type of guest room do you require?

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* 5. What type of guest room do you require?

Do you have any special needs? Please explain.

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* 6. Do you have any special needs? Please explain.

Please provide a phone number where we can reach you to obtain credit card information to guarantee the room if one becomes available.

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* 7. Please provide a phone number where we can reach you to obtain credit card information to guarantee the room if one becomes available.

I currently have a hotel reservation at:

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* 8. I currently have a hotel reservation at:

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