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         Hotel Registration Form



Wyndham New Orleans at Canal Place
Welcomes Attendees to the 16th Biennial
TDI International Conference
July 11-13, 2005

For room reservations, prepare to give the information as shown on this form to the Wyndham New Orleans at Canal Place. Indicate that you are attending the 16th Biennial TDI International Conference.

Reservations received after June 8, 2005 will be provided on a space available basis and at prevailing hotel rates.

The hotel's website is at: www.wyndham.com


Three ways to register for your hotel room!

By Mail:

You can print out and mail this form to its address:
           Wyndham New Orleans at Canal Place
           100 Iberville Street
           New Orleans, LA           70130-1159

By Fax:

You may also fax this form to the hotel at 504-553-5120.

By Phone:

Call the hotel via relay and give the relay agent the hotel’s voice phone number, 1-504-566-7006.


Reservations received after June 8, 2005 will be provided on a space available basis and at prevailing hotel rates.

Name(s): ______________________________________________
Company Name: ________________________________________
Street Address: _________________________________________
City: ______________________ State: __________ Zip: ________
Home Phone: _______________  TTY      Voice     Both
Work Phone: _______________  TTY      Voice     Both
Fax: ________________
Email address: __________________________________________

Check-In Time is 3:00 p.m. Accommodations prior to this time will be provided as rooms become available. To facilitate the check-in process, the hotel suggests that you present a major credit card at the front desk upon arrival:
          Accompanied by a one night’s deposit    - or -
          Assured through a credit card
                   American Express
                   Diner’s Club
                   Carte Blanche
                   MasterCard
                   VISA
                  Card No. ____________________________________
                  Expiration Date: ____________
                  Cardholder’s Signature: _________________________

Arrival Date:      _________    Estimated Time of Arrival: _________ Departure Date: _________    Estimated Time of Departure: _______

Please check specifics for your room reservation
(rates are per room per night):

   Single    $109
   Double:  $134

   Smoking
   No Smoking

Tax on rooms is currently 13% plus $2.00 per night, occupancy tax, subject to change without prior notice.

Please let the hotel know you need special accommodations in the room by checking the items below:

 TTY
 Closed-captioned TV
 Visual fire alarm
 Visual alarm clock
 Door strobe lights
 All of the above

They will be provided depending on supply and in general compliance with the ADA regulations. Availability of these auxiliary aids cannot be guaranteed due to the large number of attendees that request for them.

Share with: (Use only ONE reservation form per room)

Name(s): ____________________________________________

Name(s): ____________________________________________

Name(s): ____________________________________________

Check-Out Time is 12:00 noon.


Print out this form
and once completed, mail or fax to
Wyndham New Orleans at Canal Place.

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