Hotel Reservation Form

The NCC has contracted with several downtown Cleveland hotels for 50th Anniversary Celebration participants.  Selected dates within the Nov. 5-15, 1999, time frame are available at these hotels.  Rates are available three days prior to and three days after these dates, and do not reflect taxes which are added to each room rate. 

You may reserve by printing out, completing and faxing or mailing the form that follows to:

50th Anniversary Celebration
National Council of Churches
475 Riverside Drive, Room 630
New York, NY 10115-0050
Fax: 212-870-3434

For additional information, phone 1-800-328-NCCC (code 1999).

GUEST INFORMATION:

Arrival Date/Departure Date

First Name/MI/Last Name

E-mail Address

Daytime Phone/Fax

If providing international numbers, please include country and city access numbers.

Company

Address

City/State/Province

Zip/Postal/Country

Please indicate if you are an NCC staff or committee member:

HOTEL SELECTION

Please indicate four choices in order of preference ("1" for first choice, etc.).  The Cleveland Map shows each hotel's proximity to the Cleveland Convention Center.  Rates are guaranteed only through October 1, 1999.  After that, hotels may charge higher rates.

Please indicate criteria for choices:

Comparable Room Rate    Proximity to Conference Site

# of occupants   # of beds requested

List all room occupants:

Check here if you have a disability requiring special services 

Do you need a non-smoking room?

Do you have other special requests?

PAYMENT INFORMATION

All reservation requests must be accompanied by a valid credit card number.   Housing forms received without a valid credit card will not be processed and will be returned.

American Express
MasterCard
Discover
Visa

Card Number

Expiration Date

Name on Credit Card

Cardholder's Signature (necessary to process reservation