Control of Biohazards Course email biosafety@controlofbiohazards.com

Control of Biohazards Course

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Hotel Reservation Form - April 16th through April 20th, 2012

  • 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___________
     
 
 For Further Information:
 
Dr. Byron S. Tepper
 Phone: (410) 828-6330
 Fax: (410) 828-6331
 email btepper1@verizon.net
 
 
 Dr. Richard W. Gilpin
 Phone: (410) 961-6638
 email: gilpin@legionella.com

Revised: 1/3/2012
biosafety@controlofbiohazards.com
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