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ASRI Registration

30th Annual Meeting of The American Society for Reproductive Immunology

May 17 - 20, 2010

Nemacolin Woodlands Resort
1001 Lafayette Drive
Farmington, PA  15437

For questions regarding your stay or regarding the online registration form, please contact Dawn Bodes, Group Coordinator by email at [email protected].

* Required Fields

1. Personal Information
 
First Name* 
Last Name* 
Address* 
City* 
State* 
Zip* 
Home Phone* 
Work Phone* 
Country* 
Email Address* 
 
2. Lodging Specials
 
Check In Date*  May 16, 2010
May 17, 2010
May 18, 2010
May 19, 2010
May 20, 2010
Number of Nights for Your Stay* 
Number of Adults in Room* 
Special Requests / Notes 
Please select a room*  Chateau King - $199 per room / per night The benchmark for excellence in resort lodging, the Chateau Lafayette was designed to replicate the famous Ritz Paris in France, the Chateau Lafayette's 124 elegantly appointed guestrooms come with vaulted ceilings and crystal chandeliers. More Info
  Chateau Double - $199 per room / per night The benchmark for excellence in resort lodging, the Chateau Lafayette was designed to replicate the famous Ritz Paris in France, the Chateau Lafayette's 124 elegantly appointed guestrooms come with vaulted ceilings and crystal chandeliers. More Info
  Lodge King - $179 per room / per night The Lodge is Nemacolin Woodlands Resort's original hotel, offering the warmth of a classic English country Inn. More Info
  Lodge Double - $179 per room / per night The Lodge is Nemacolin Woodlands Resort's original hotel, offering the warmth of a classic English country Inn. More Info
  Two Bedroom Townhouse - $179 per room / per night Ideal for families or groups of friends who want to make themselves at home in a secluded setting, Nemacolin's two bedroom townhouses are located in beautiful wooded areas. More Info
 
3. Payment Information
 
Credit Card* 
Card Number* 
Name on Card* 
Expiration Date* 
 
Cancellation Policy
Upon confirming your reservation, your credit card will be billed for one night's room & tax. The applicable tax rate is 9%. Any cancellation/refund request will incur $25 administrative fee. After April 17, 2010, all fees are non-refundable.
 
 
Signature*           Date*  
                      (Please type name)


1001 LAFAYETTE DRIVE, FARMINGTON, PA 15437     TEL. 724.329.8555     RES. 866.344.6957
34° 02/03/12