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American Printing House for the Blind
National Family Conference
Galt House Hotel Registration
Louisville, Kentucky
August 12-14, 2005

Must Call to Make Reservation and Cancellations.
No Pets Please!

Complete Form and Keep for Your Records.
Confirmation Number:

Credit Card for Deposit:

• AmEx
• M/C
• VISA
• DC/CB

Cardholder's Name:

No.:     Exp.:

Signature: _________________________________

Arrival Date:
Time:     AM    PM
Departure Date:

Name:
Address:
City:    State:    Zip:
Daytime Phone:
Email:
Representing:
City/State:

Name(s) of Room Occupants:


Guests With Special Needs: Yes    No

Room Description (Please Indicate Choice of Accommodation)

East Tower

Number of Persons:

• 1 ($85)
• 2 ($85)
• 3 ($85)
• 4 ($85)

West Tower

Room with 2 Double Beds: Number of Persons:

• 1 ($77)
• 2 ($77)
• 3 ($77)
• 4 ($77)

Room with a King Bed: Number of Persons:

• 1 ($77)
• 1 ($77)

River Suites: (PARLOR/ 1 BR/ 2 BEDS) ($295)

Complete Information Above and Retain for Your Records
Deadline for Reservations to Receive Special Rates: July 19, 2005 at 12:01 AM
Rates Do Not Include State & Local Taxes

For Reservations or Cancellations Call: 1-800-843-4258.
Discuss Payment at Time of Reservation.

The Galt House · Attn: Reservations · Fourth Street at the River · Louisville, Ky · 40202

Check In Time: 3:00 PM      Check Out Time: 12:00 Noon If Later Check Out Time is Needed, Discuss at Check In.

Below Please Find Pertinent Information Regarding Your Reservation

To guarantee your reservation we require one night's deposit (including state and local taxes) using either an ENCLOSED CHECK, a MONEY ORDER or a MAJOR CREDIT CARD with expiration date and signature. *DEPOSIT WILL BE CHARGED TO YOUR CREDIT CARD AT THE TIME THE RESERVATION IS CONFIRMED.

We regret that we cannot hold reservations without a deposit for the reservation with one of the above methods. Deposits will be refunded only if cancellation notification is received at least 48 hours prior to arrival. We will make every effort to honor requests for specific types and locations of rooms; however, on occasion, we cannot meet such requests and reserve the right to provide alternate accommodations.

Reservations requested after DATE SHOWN ABOVE or after the room block has been filled are subject to availability and may not be available at the convention rate.

2005 NATIONAL FAMILY CONFERENCE, LOUISVILLE, KY

©2005, American Printing House for the Blind, Inc.