ARC Riverside

10th National, 3rd International Conference on Abuse of Children and Adults with Disabilities

March 14 – 16, 2005

Riverside, California

Hotel Reservation Form

Please complete entire form; failure to do so will delay your reservation.

HOTELS RATES: Below rates do not include 11% hotel tax.

Riverside Marriott
Located mere steps away from Riverside Convention Center. ~Quailty Excellence Award Winning Hotel~
Cancellation Policy: Please notify hotel at least 72 hrs prior to arrival to avoid any guest room cancellation charges. / $94.00 per night (single/double) (Children Stay Free)
Pool, Spa, Fitness Center, complimentary parking & Ontario Intl Airport shuttle “with 72 hrs advance reservations”, accessible rooms, on site restaurant and lounge 24hr. Room service.
The Mission Inn
Located one block from the Riverside Convention Center. Opened in 1903, the Inn has attracted Presidents and Hollywood Stars.
Cancellation Policy: Please notify hotel at least 72 hrs prior to arrival to avoid any guest room cancellation charges. / $139.00 per night (Single or Double)
Additional guests are $15.00 ea. Complimentary Ontario Airport shuttles. Museums, tours (4) restaurants, lounge, coffee shop on property, 24-hr. room service and Olympic sized pool and fitness center.
Guest parking rates: $5.00 self-parking $12.00 valet parking.
Phone reservations will not be accepted. Cut-off date for reservations is February 18, 2005

Please complete one reservation form for each room requested, include first night’s deposit for each room and mail to:

RIVERSIDE CONVENTION BUREAU

ARC Riverside 9th Annual Conference

3750 University Ave., #175

Riverside, CA 92501

For further information call: Margo Keck (951) 222-4700 ext. 201 or Fax to(951) 222-4712

Last Name______First Name ______

Address ______City______State ______Zip______

Phone ______Arrival Date ______Departure Date ______# of Nights______

Note:All reservations are made on a first come first come basis. We will do our best to accommodate your first choice hotel & room types.

Please acknowledge that your 1st choice hotel & room types are not guaranteed.

Hotel: 1st Choice ______2nd Choice ______

Smoking ______

Accommodation____ 1 bed / 1 person____ 1 bed / 2 personsNon-Smoking ______

Request:____ 2 beds / 2 persons____ 2 beds / 3-4 personsHandicapped ______

Checks are to be made out to the Riverside Convention (Checks will not be cashed until 30 days prior to convention date)

If paying for your first night’s deposit by check, please be sure checks arrive no later than February 18, 2005.

Any checks received after this date will be returned.

Payment: (circle one)American Express Discover Visa Master Card Check Other

Card Number ______Exp. Date: ______

Signature: ______Date ______