NAME:

ADDRESS:

CITY:____________________________________STATE:_____________ZIP ________________

PHONE NO:______________________________ 

SHARING ROOM WITH: ______________________________________

ARRIVAL DATE:__________________________          DEPARTURE DATE: ________________

ACCOMODATIONS (Please check whichever applies)

___1 person \bed     ___2 people\1 bed     ___2 people\2 beds     ____3 people\2 beds     ____4 people\2 beds
 
SPECIAL REQUESTS_______________________________________        _____Smoking    _____Non-smoking

CHECK-IN TIME:  3:00 P.M.     •     CHECK-OUT TIME:  12:00 NOON

You must guarantee your room with a credit card number or payment of one night's lodging. Room reservation requests must be received prior to the cut-off date listed above. After that date all requests are subject to availability.

CREDIT CARD #____________________________________________________________ EXP. DATE ___________

NAME ON CARD ___________________________________________________________

Mail, call or fax your reservation to:

Marriott North at Union Centre Boulevard
6189 Muhlhauser Road
West Chester, OH 45066
Telephone: (513) 645-4607 or 1-800-MARRIOTT*
FAX: (513) 645-4619