Hotel Reservations Please complete the form below. Once your request has been approved via email, the reservation will be sent to the hotel. A two-night room deposit by credit card is due to guarantee a reservation. The hotel will not hold any reservations without the deposit. The deposit is non-refundable after December 15. THE ROOM BLOCK IS FULL ON JANUARY 20, 21, 28, 29 & 30 with limited availability on the 27th. We currently have rooms available during our meeting dates. Individual Cancellation Policy: Cancellations within 30 days prior to arrival will be charged the full amount of the reservation. This includes any changes in check-in and check-out dates. Deadline Date: The discounted conference rate will be available until the contracted room block sells out. Any reservation received after this date cannot be assured a room in their desired category OR the group rate. Room Category Availability: Room categories are based on availability on the date the request is received. Should a category be sold out for the dates requested, your room reservations will automatically be confirmed in the next available category. Hotel reservations cannot be confirmed by phone.Name on Reservation* First Last Credentials*Please select your credentials.MD/DOPhDDPMRN/BSNOT/PTStudent/ResidentExhibitorEmail PhoneCheck-in date requested* MM slash DD slash YYYY Check-out date requested* MM slash DD slash YYYY Room type*Please select the room type.Garden View - $399/per night - SOLD OUTOcean View - $469/per night - SOLD OUTPremium Ocean View - $509/per night - SOLD OUTSpecial Room RequestsIf you have a special room request ( i.e., requests for specific room numbers, adjoining rooms, etc...), we will do our best to accommodate but can not guarantee all requests. Marriott Rewards NumberBed optionPlease select if you have a bed preference.KingTwo QueensCredit Card type*Please choose the type of credit card.VisaMastercardAmerican ExpressCredit card number*Please insert your credit card number. Your card will not be charged until your request has been approved. Expiration date (MM/YY)* CSC Code*The code on the back of your card (VISA/MC) or front of your card (AMEX). Credit Card Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Name of GuestPlease include the name of any guest staying in the room. First Last
