ACM Mid-Southeast Chapter Fall Conference
Hotel Reservation Form

Hotel reservation to be made directly with hotel A block of rooms has been reserved at the Glenstone Lodge with a cutoff date of October 21, 2003. Any reservations after that date will be provided on a space available basis. Conference dates are November 13-14, 2003; presentations on the 14th. COMPLETE THE FOLLOWING FORM AND MAIL TO:
 
			Glenstone Lodge
			ACM Conference Registration
			504 Historic Nature Trail 
			P.O. Box 330
			Gatlinburg, TN  37738
			865-436-9361

Please Print or Type:

Please reserve _______ room(s) for _______ persons.  (Maximum persons per room is 4)
Room Rate:  $84.38   ($75.00 + 12.5% tax) for all rooms.

Name:________________________________________________________________________________
Address:_____________________________________________________________________________
City:________________________________   State:  ___________   Zip: __________________
Date/Time of Arrival:_____________________   Date/Time of Departure:_________________
Credit Card (Type, No.):________________________________  Expiration Date:___________
Signature:___________________________________________________________________________
Note: If you phone, please indicate that the reservation is for the ACM Mid-Southeast Conference. Check-in time is 2:00p.m. and check-out time is 11:00a.m. Reservations must be guaranteed by one night's deposit of guarantee of payment through credit card or check in the amount of $84.38. Cancellation notice of 72 hours is required. Written confirmation is mailed only if specifically requested.