New York State School Food Service Association

New York SchoolNutrition Association

Conference 2013 November 8-10

HOTEL RESERVATION FORM

Hyatt Regency Rochester

125 East Main Street

Rochester, NY14604

1-888-421-1442 (Reservations)

585-546-1234 (Hotel)

Fax: 585-546-6777

To Reserve On-Line – go to The NYSNA code is G-SFCB.

FORMS MUST BE MAILED OR FAXED DIRECTLY TO HOTEL

PLEASE NOTE A SEPARATE REGISTRATION FORM IS REQUIRED FOR EACHROOMNOT EACH PERSON . THE HOTEL WILL SEND AN *EMAIL CONFIRMATION FOR EACH REGISTRATION or for phone reservations, the number will be told to you. SUBMIT THIS FORM BEFORE October 17, 2013. All reservations must be guaranteed with a major credit card orcheck for one night’s stay. A purchase order may be used for payment but will not secure the room.

NAME:______TITLE:______

SCHOOL DISTRICT/BUSINESS:______

SCHOOL DISTRICT/BUSINESS ADDRESS:______

CITY:______STATE:______ZIP:______*EMAIL:______

PHONE: SCHOOL/BUS.:______HOME/CELL:______

DATE OF ARRIVAL: ______DATE OF DEPARTURE: ______NUMBER OF NIGHTS: ______

*To receive a confirmation of your lodging, legible email information must be provided.

_____Single Occupancy - $ 125.00 per room/per night

_____Double Occupancy - $ 125.00per room/per nightRooming with ______

_____Triple - $ 145.00per room/per night Rooming with ______

_____Quad - $ 165.00 per room/per night Rooming with ______

Rooming with ______

Please indicate preferences: _____1 King Bed_____2 Double Beds _____Handicap Accessible (1 King Bed only)

Check-in: 3:00 p.m., Check-out: 12:00 p.m.

Complimentary Parking Passes will be provided to hotel guests; Complimentary airport shuttle is available for hotel guests.

Reservations may be cancelled without penaltyup until 3:00 pm on the day before of arrival

_____Mastercard _____VISA _____American Express Account #: ______Exp. Date: ______

For guests paying by personal check: check payments must be received 14 business days prior to arrival; include tax exempt form ST-129.

NYSNA HOTEL BLOCK GROUP RATES ARE GOOD UNTIL OCTOBER 17, 2013 OR UNTIL THE ROOM BLOCK IS FULL. SO RESERVE YOUR ROOM EARLY!

Tax Exempt Procedures and Purchase Order Procedures:

If paying by purchase order, POmust be received 3 weeks in advance of your arrival, and a credit card will be required at time of registration. PO’s should include full billing address, contact information and email address for invoicing. Forms may be faxed to the Hyatt at the address above, ATTN: Reservations/Accounting or faxed to 585-546-6777. If another method of payment will be used, please provide an ST-129 tax exempt form and identification showing you are a government employee of the United States, New YorkState, or a Political Subdivision of New YorkState. If paying by personal check, the check must be received 14 business days prior to arrival.