AFRICAN AMERICANS IN LOUISIANA HIGHER EDUCATION
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Holiday Inn

Group Reservation Form

AFRICAN AMERICANS IN LOUISIANA HIGHER EDUCATION

April 21-22, 1999

Please Print ..... Completed form must be received by hotel by Reservation Deadline.



Group Name:
African Americans in Louisiana Higher Education (AALHE)



Name:_____________________________________________________________________________

Address:___________________________________________________________________________

City, State:__________________________________________________Zip Code:_________________

Will Arrive On:________________________________________Time:___________________________

Will Depart On:________________________________________Check-out time is 12:00 Noon.

Reservation Deadline:                     March 30, 1999

Please note the following policies and procedures:

Please indicate room type requested. A confirmation number will be mailed to you.

***First night's deposit, check or credit card, is required to confirm reservation. ***

                       ____Check/Money Order Enclosed                               ____Credit Card Guarantee

Credit Card (check appropriate card type):

____ Amex    ____Carte Blanche     ____Diners Club      ____Discover        ____MasterCard             ____Visa  
Other: _________________

Credit Card Number: _________________________________Exp. Date:________________________________

Signature:__________________________________________

2000 S. Morrison Blvd
Hammond, LA 70403
(504) 345-0556
Fax (504) 345-0557


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This page was last updated on Friday, 03-Feb-2006 09:49:45 CST