GSA Hotel Reservation Form
27th Annual Conference 2003
Fax this form to 480-966-2239 or mail to GSA 340 E. 15th Street, Tempe, AZ 85281
DO NOT SEND TO HOTEL. IT WILL NOT BE ACCEPTED
SEND ONLY TO GSA MAIN OFFICE!!

 

Radisson Hotel New Orleans

Name ________________________________
(PRINT NAME IN BLOCK LETTERS)

Address ______________________________
______________________________
______________________________

E-Mail Address ________________________

Arrival Date and time ______________
Departure Date ___________________

Single Room ($119 plus tax) __________
Double Room ($119 plus tax)__________
Sharing room with ____________________

 

 

Special requests: ___________________________________

MasterCard/Visa(cross out one)________________________
Diner's/American Express (cross out one)
_____________________
Expiration Date __________
Authorization
Signature ____________________________________