CALTCM ROOM RESERVATION FORM

2020 CALTCM SUMMIT FOR EXCELLENCE

GUESTROOM RESERVATION REQUEST

Official Stay Dates: October 8-10, 2020

To make a guestroom reservation request, please complete the information below. A room block is being held until September 17, 2020 and rooms are on a space and rate available basis after this date. Also, please note that breakfast is not included in the room rates. After submitting your request, a reservation agent will call you to confirm. Please have your credit card ready.

California Association of Long Term Care Medicine
CALTCM 2020 Annual Meeting

FIRST & LAST NAME*
EMAIL ADDRESS*
PHONE NUMBER*
Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
ARRIVAL DATE*
DEPARTURE DATE*
NUMBER OF ADULTS*
NUMBER OF CHILDREN (UP TO 12 YRS)*
SELECT A ROOM TYPE*
COMMENTS/SPECIAL REQUESTS
Consent*
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Guidance for Face Coverings

46th ANNUAL MEETING

2020 CALTCM SUMMIT FOR EXCELLENCE

CALTCM ROOM RESERVATION FORM