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PDF Hotel Registration Form
Fill out, Print & Fax (410) 735-4907 or Snail mail to: - Please complete and
send your reservation directly to:
Mt Washington Conference Center
5801 Smith Avenue Baltimore, MD 21231 | Telephone: (800)
488-8734 Ask for Biocontrol Course Rooms Fax: (410) 735-4907 |
- I am enrolled in the Control of Biohazards Course presented on
April 16th through April 20th, 2012. Please make the following reservation for me.
- Room Rate: $149.00 Single
Occupancy/Per Night or $194.00 Double Occupancy (Spouse & Family)/Per
Night - Guaranteed until March 18, 2012 - Plus 15.5% lodging and state taxes.
- Number of nights ______
- Single Occupancy: _____
Double Occupancy: _____
- Arrival day __________
Departure day ________
- Reservation rate guaranteed until
March 18, 2012.
- Name ________________________________________________
- Address ______________________________________________
- City _____________________State_____ Zip Code _________
- Area Code/ Telephone Number ( ) ______________________
- Arrival Date ___________ Departure Date _____________
- Please hold my reservation for late arrival _________.
- Reservations may be guaranteed for late arrival by one night's deposit.
- Use a major credit card.
- AMEX___ VISA___ MASTER CARD ___
- Card #________________________________ Exp. Date________
- Signature____________________________ Date___________
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