Greening the Hospitality Industry

February 4-5, 2004

AirlieConferenceCenter

Warrenton, Virginia

Registration Form

CONFERENCE REGISTRATION

__ $185 for 2 day event

(Includes the two-day conference with lunches, breaks, conference materials, and reception on February 4)

__ $115 - Day One (February 4) ONLY Registration

__ $ 95 - Day Two (February 5) ONLY Registration

Special student rates ($90-Day One; $70-Day Two)

LATE FEE FOR REGISTRATION AFTER JANUARY 16 – ADD $25.

LODGING/FOOD OPTIONS

__ Option 1 (Includes February 3rd lodging and dinner at the AirlieCenter and full breakfast on the morning of February 4th).

Cost: $150 (for governments and non-profits); $180 (for businesses)*

Double occupancy rates: $120 (for governments and non-profits); $150 (for businesses)*

__ Option 2 (Includes February 4th lodging and dinner at the AirlieCenter and full breakfast on the morning of February 5th).

Cost: $150 (for governments and non-profits); $180 (for businesses)*

Double occupancy rates: $120 (for governments and non-profits); $150 (for businesses)*

__ Option 3 - Dinner Only on February 4th – No lodging at AirlieCenter.

Cost: $35*

___ Option 4 - I will arrange my own lodging and dinner accommodations at another location. (For more information, click here.)

*These fees are in addition to the conference registration. Please include payment for Options 1, 2, and 3 WITH your registration fee.

NOTE: There is no formal evening program connected with the Conference. Guests choosing Options 1 and 2 will have an opportunity to informally tour the AirlieCenter grounds, network with other conference attendees and sponsors, and relax at the on-site pub.

NOTE: The conference center offers the lodging/food options as complete packages including dinner and breakfast. These options cannot be modified. You must pre-register for these options and pre-pay the fees. Fees are non-refundable after January 16, 2004.

REGISTRATION INFORMATION

NAME

NAME FOR BADGE

TITLE

ORGANIZATION

ADDRESS

CITYSTATEZIP

PHONE FAX

E-MAIL

NOTE: ALL FIELDS ARE REQUIRED.

Do you have special requirements? Please let us know. ______

REGISTRATION TOTALS

REGISTRATION FEE

Two-day registration______

February 4 Registration ONLY______

February 5 Registration ONLY ______

Late Registration ($25)______

(After January 16th)

************************************************************************

LODGING/FOOD OPTIONS

Option 1 (February 4) : ______

Option 2 (February 5): ______

Option 3 (Dinner only, Feb.4)______

GRAND TOTAL:______

If double occupancy, please indicate your roommate______.

PAYMENT OPTIONS
Credit Card Payment Information

NAME ON CARD

SIGNATURE

CARD NUMBER

EXPIRATION DATE

__ VISA__ MASTERCARD__ AMERICAN EXPRESS__ DISCOVER

*Please note that your credit card statement will reflect payment to Convention Connections, Inc. Registrations paid by credit card can be faxed to 804-360-1555.

Check Payment Information

Please make check payable to: Convention Connections, Inc.

SEND TO:

Convention Connections, Inc.

Attn: Marty Malloy

12200 Valleybrook Drive

Richmond, VA 23233

** Each registrant will receive a written acknowledgement via email of their registration.

Cancellation Policy

If cancellation is received in writing by January 16, 2004, there will be a 50% refund of the registration fee and 100% refund of the lodging/food option costs. After January 16, 2004, no refunds will be allowed.

For questions, contact:

Convention Connections, Inc.

Email:

Phone: 804-360-1500

Fax: 804-360-1555