Veerashaiva Samaja of North America
July 2 - 4, 2010

Use this form to send a request to our Reservations Department.
We will contact you at the phone number or email address you provide in the form.

This form does not provide quotes and does not reserve rooms.
The information entered is sent to our Reservations office, so that an agent can follow up via telephone or e-mail.

* Rates apply three days prior & after
*Rates apply for single or double occupancy
*Additional persons 18 years of age or older are $15 per night,
per person to a maximum of four people, including children

Date of Arrival June July 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010 2011 2012 2013 2014 2015 Date of Departure June July 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010 2011 2012 2013 2014 2015
Number of Rooms: 1 2 3 4		Number of Adults	1 2 3 4		Number of Children	0 1 2 3 4
Smoking Preference: Non-Smoking Smoking - Best Western Only	Room Type Preference		Traditional Room - $89

Reason for Stay		Conference		Name of Event
Name		Required
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