LAS VEGAS FUN RALLY XXIII RESERVATION FORM
The 2004 dates are April 21, 22, 23, 24, & 25 - in Wednesday and out Sunday
Please complete this Room Reservation Request and send it, along with your check or credit card information to the address below.
GROUP NAME: Las Vegas PANTERA FUN RALLY
ABSOLUTE RESERVATION CUTOFF DATE: MARCH 21, 2004
TOTAL COST OF THE EVENT IS: NON- MEMBER POCA MEMBER
(This includes room AND event charge REGULAR PRICE: DISCOUNT
PRICE: **
for 2 people) WEDNESDAY THURSDAY FRIDAY
WEDNESDAY THURSDAY FRIDAY
ARRIVAL ARRIVAL
ARRIVAL ARRIVAL ARRIVAL ARRIVAL
--------------- ------------- ------------- ------------- ------------- -------------
1 BEDROOM ----------------------------------------------- $395.00 $345.00
$295.00 $370.00 $320.00 $270.00
1 BEDROOM SUITE -------------------------------------- $620.00 $520.00 $420.00
$595.00 $495.00 $395.00
2 BEDROOM SUITE---------------------------------------- $890.00 $765.00
$640.00 $865.00 $740.00 $615.00
EVENT COST ONLY - PER PERSON
(NO ROOM)-- $135.00 $135.00 $135.00 $110.00
$110.00 $110.00
ROOM
AND EVENT RATES ARE THE SAME FOR EITHER SINGLE OR DOUBLE OCCUPANCY
NOTE: TO STAY AT THE HOTEL ANY ADDITIONAL DAYS, SUNDAY THRU THURSDAY, AT EITHER END OF THE EVENT, JUST ADD $40.00 PER ROOM/PER NIGHT WHEN YOU MAKE YOUR RESERVATION THROUGH POCA.
Please make reservations at JACKIE VAUGHAN’S Plaza Hotel for:
NAME: ___________________________________________________________ CHAPTER/CLUB: ______________________
ADDRESS:_________________________________________________________________________________________________
CITY: ______________________________________________________ STATE: _____________ ZIP: _________________
PHONE: HOME:(______) _____________________________ BUSINESS (_______) __________________________________
"E" Mail
ADDRESS:_________________________________________________________________________________________
ACCOMMODATIONS: ONE BEDROOM ________ ONE BEDROOM SUITE _______ TWO BEDROOM SUITE ________
IMPORTANT NOTE: RESERVATIONS
WILL BE HELD ONLY WHEN SECURED BY PAYMENT.
PLEASE ENCLOSE YOUR PAYMENT WITH
THIS RESERVATION REQUEST.
Please complete: ARRIVAL DATE: ___________________ ETA: __________ DEPARTURE DATE: _________________
TOTAL NUMBER IN YOUR PARTY: _______ PRINT FIRST NAME OF EACH MEMBER IN PARTY (FOR BUTTONS):
___________________________________________________________________________________________________________
(If more than two per bedroom, please add the "event only" cost for each additional person age 13 or older.)
I am (not) a current POCA member - Member Number: __________
I am (not) entitled to the POCA member discount. My total event cost will be $ __________.
**I am NOT a current POCA member, but wish to join POCA and take advantage of the POCA member discount price. My total event cost of $ __________ includes one years dues ($75.00/$90.00 foreign) plus the event POCA member discount price.
I WISH TO STAY AT THE PLAZA (____) ADDITIONAL DAYS. I HAVE ADDED AN ADDITIONAL $40.00 PER ROOM/PER NIGHT TO THE APPLICABLE BASE AMOUNT AND MY TOTAL EVENT COST WILL BE $________________________
PAYMENT METHOD: CHECK _____ VISA _____ MasterCard ____
CARD #: ____________________________________________________________________________ EXP. DATE: ____________
PLEASE RETURN THIS ENTIRE PAGE, AND IF PAYING BY CHECK, MAKE IT PAYABLE TO "POCA", AND SEND IT TO:
GARY ROYS, 6955 VERNMOOR, TROY, MI 48098.
IF YOU HAVE ANY QUESTIONS,
CALL GARY AT HOME: (248) 879-0835 … OR FAX HIM AT: (248) 879-6826
Date Reservation Received: ____________________________ Amount Received: ______________________ (__________ Days)
Membership Paid: ___________________________ New: __________________________ Renewal: _______________________