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Sierra Club Foundation and Board of Directions Meeting
17-21 Feb 2010 Sarasota Fl. |
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| Please fill out as much information as possible, a travel consultant will get back to you within a business day once you have submitted this form. |
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Personal Information
TSA regulation requires Full name as it appears on ID and Birthdate. First Middle Last if that is how ID appears
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(legal full name, EXACTLY how it appears on a photo id card - Include middle, etc. if present on ID)
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Cost Center:
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Chapter:
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Additional Address Info:
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City, State:
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Email:
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Flight Itinerary |
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Leaving From:
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Leaving Date:
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Preferred Leaving Time:
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Departing Date:
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Preferred Departure Time:
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Senior Citizen:
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Preferred Airline:
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Frequent Flyer Number:
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Preferred Seating :
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Additional Flight Itinerary Information:
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Hotel Reservation |
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| Hyatt Regency Sarasota has been pre-selected for you to that has a special discount for this very reservation. For more information on the hotel website link below. Opting to share a room may reduce costs up to 50% off; we will coordinate who will be sharing the room, please indicate your gender below. Please have a credit card ready to guarantee your space, you will not be charged until confirming your booking with a travel consultant and upon actual date of room usage. |
King Bed 185.00 2 Double Beds 185.00
Available 17, 18, 19, 20 Feb 2010.
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Hotel Accomodations:
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Single or Double Occupancy:
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Gender:
(if sharing room, please indicate gender) |
Additional Room Requirements:
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Credit Card Information |
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Credit Card:
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Name on Card:
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Card Number:
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Expiration Date:
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3-4 Digit Credit Card Security Code:
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2014 Palmetto Ave, Pacifica, CA 94044
1.800.542.1991 - 650.738.4980 |