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HYATT REGENCY
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| Arrival:____________________Check in time 3:00 pm | Departure: ___________________Check-out time 12 noon |
| Bed Type Request: | ___One King Bed | ___Two Double Beds | Smoking Room: ___No___Yes |
| Family Name ________________________________ | First Name __________________________________ |
| Dept _______________________________________ | Inst_________________________________________ |
| Street ______________________________________ | Box/Apt#____________________________________ |
| City _______________________________________ | St/ Prov __________Zip/PostalCode______________ |
| Country ____________________________________ | Phone ______________________________________ |
| Sharing room with ____________________________ | Fax ________________________________________ |
Since all reservations at the Hyatt Regency Crystal
City require one night's deposit or credit card guarantee ($126.21) per
night, I have:
(A) enclosed a check or money order for $ ____________________
(B) enclosed
a credit card information authorizing my reservation to be guaranteed in
the amount of $ ____________
| Credit card: ___ American Express ___ Diners Club ___ Carte Blanche ___ MasterCard ___ Visa ___ Discover |
| Credit Card Number ______________________________________________Exp. date ___________________ |
| Print name as it appears on card ______________________________________________ |
| Signature of card holder ____________________________________________________ |
| Mail this form and deposit to: Hyatt Regency Crystal City At Washington National Airport Reservation Department 2799 Jefferson Davis Highway Arlington, VA 22202 |
Fax this form with credit card information to: (703) 418-1289 or call 1-800-233-1234 On-line reservation service www.hyatt.com |