HOTELS AND LOCATIONS HOTEL RESERVATION FORM $309 $309 Single $359 1. $349 $349 Name Company Address City Country Telephone ( E-mail Arrival Date HOTEL PREFERRED First Choice Third Choice Departing Date Second Choice Fourth Choice ) Fax ( ) Zip/Postal Code State/Province 2. $299 $365 $309 $309 $309 $329 $295 $325 $264 $284 $254 $355 $289 $289 $369 $369 $279 $309 $319 $319 $319 $319 $379 $379 $329 $329 $369 $369 $259 $259 $199 $219 $219 $239 $229 $249 $349 $249 $269 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. If none of your choices are available, we will select another hotel based on comparable room rate. Single Double Special needs ONLY submit one housing application per room. Name of all room occupants: 1. 2. 3. PAYMENT METHOD Visa Credit Card # 4. MasterCard Print Name American Express Exp. Date 13. 14. $249 $219 $329 $199 $349 $349 $299 $349 $239 $349 $305 $329 $309 $269 $359 $359 $349 $335 $329 $309 $269 $319 $319 $369 $369 15. 16. 17. 18. Name as it appears on card Signature Indicates approval for charges to your account 19. 20. 21. 22. 23. New York Marriott Marquis Headquarters Hotel 45th St. & Broadway 70 Park Avenue Hotel Park Avenue & 38th Street Affinia Manhattan 31st St. & 7th Avenue Bryant Park Hotel 40th St. bet. 5th & 6th Avenues Courtyard-Fifth Avenue 40th St. bet. 5th Avenue & Madison Courtyard-Midtown East 53rd St. & 3rd Avenue Courtyard-Times Square South 40th St. bet. 6th Avenue & Broadway Crowne Plaza - Times Square Manhattan 48th St. & Broadway DoubleTree Guest Suites Metropolitan 51st St. & Lexington Avenue DoubleTree Times Square 47th St. & 7th Avenue Hampton Inn Times Square North 51st St. & 8th Avenue Hilton Garden Inn Times Square 48th St. & 8th Avenue Hilton Garden Inn/West 35th Street 38th St. bet. 5th & 6th Avenues Hilton New York 53rd St. & 6th Avenue Holiday Inn - 57 Street 57th St. bet. 9th & 10th Avenues Hotel 30/30 30th St. bet. Park & Madison Avenues Hotel Mela 44th St. bet. 6th Avenue & Broadway Hotel Pennsylvania 33rd St. & 7th Avenue Hudson Hotel 58th St. bet. 8th & 9th Avenues Le Parker Meridien 56th St. bet. 6th & 7th Avenues Millennium Broadway Hotel 44th St. bet. 6th Avenue & Broadway New York Marriott Eastside Lexington Avenue & 49th St. New Yorker Hotel 34th St. & 8th Avenue Double 24. Novotel $359 52nd St. & Broadway 25. Omni Berkshire Place 52nd St. & Madison Avenue $349 26. On The Avenue 77th St. & Broadway $299 27. Paramount Hotel 46th St. bet. 7th & 8th Avenues $365 28. Park Central 55th St. & 7th Avenue $309 29. Radisson Lexington Hotel Lexington Avenue bet 47th & 48th Streets $309 30. Radisson Martinique 32nd St. bet. 5th Avenue & Broadway $309 31. Renaissance Times Square 7th Avenue bet. 47th & 48th Streets $329 32. Residence Inn 38th St. & 6th Avenue $305 33. Royalton Hotel 44th St. bet. 5th & 6th Avenues $345 34. Sheraton Manhattan 7th Avenue bet. 50th & 51st Streets $284 35. Sheraton New York 52nd St. & 7th Avenue $299 36. The Carlton on Madison Avenue Madison Avenue bet. 28th & 29th Streets $284 37. The Muse New York Hotel 46th St. bet. 6th & 7th Avenues $355 38. The Roosevelt Hotel 45th St. & Madison Avenue $249 39. The Vu Hotel 48th St. & 11th Avenue $239 40. The W - New York Lexington Avenue bet. 49th & 50th Streets $329 41. The W - Times Square 47th St. & Broadway $219 42. The Westin 43rd St. & 8th Avenue $349 43. Warwick New York Hotel 47th St. & Broadway $349 44. Wingate - Manhattan Midtown 35th St. bet. 7th & 8th Avenues $299 45. Wyndham Garden Hotel - Chelsea 24th St. bet. 5th & 6th Avenues $349 46. Wyndham Garden Hotel - Midtown 36th St. bet. 8th & 9th Avenues $264 Please call for suite rates. Confirmation will be mailed, faxed or e-mailed to you from Experient Housing once your reservation has been secured with a deposit. You will not receive a confirmation from your hotel. If you do not receive a confirmation within two weeks, please call Experient Housing. ACKNOWLEDGEMENTS RESERVATIONS/DEPOSITS. All reservations are being coordinated by Experient Housing. Arrangements for housing must be made through Experient Housing and NOT with the hotel directly. All housing reservation forms must be received by October 31, 2009. After 10/31/09 changes will be based on hotel availability. Deposits: A credit card number is required to guarantee your reservation. Credit cards will be charged in the amount of 1 night’s room & tax for cancellations received within 72 hours of arrival. ROOM CHARGES ARE SUBJECT TO 13.375% SALES TAX, PLUS $3.50 PER NIGHT PER ROOM OR $7.00 PER SUITE CHANGES/CANCELLATIONS 11 MAIL OR FAX TO: Greater New York Dental Meeting Housing Bureau c/o Experient Inc. 568 Atrium Drive, Vernon Hills, IL 60061 USA Tel: (800) 974-9833 or (847) 996-5875 / Fax: (800) 521-6017 or (847) 996-5401 WEBSITE Hotel Reservation: www.gnydm.com All hotel reservations must be made with Experient housing on or before 10/31/09. After 10/31/09 changes will be based on hotel availability. Prior to 72 hours before arrival date, changes and cancellations must be made with your assigned hotel. At that time cancellations are subject to a charge of 1 night’s room and tax on the credit card used as a guarantee. Room charges are subject to 14.75% sales tax, plus $3.50 per night per room.http://www.gnydm.com