
NYS Association of
Small City School Districts, Inc.
Sunday, June 1 –
Monday, June 2, 20008
Reservation in the
name
of:
Reservation Code: #34533A
Mr./Mrs./Ms./Dr._____________________________________________
Company Name:
______________________________________________
Reservation Deadline:
Street Address:
_______________________________________________
Thursday, May 1, 2008
City:
______________________________State: ______Zip:
___________ Check-In Time:
Phone: _____________________Fax:
_____________________________ 3:00 PM
E-Mail:
_____________________________________________________
Check-Out Time:
Roommate Name:
_____________________________________________
1:00 PM
Arrival Date:
______________Departure Date: ____________________
RATES PER DAY
Single Occupancy ($220.00 per person, per
day) ____ Double Occupancy ($110.00 per person, per
day) ____
Suite
Single ($355.00 per person, per day) ____ Suite
Double ($177.50 per person, per day) ____
Number of
Adults ____ Children ____ Ages:(See
below for Childrens’Rates)_______________
DEPOSIT POLICY
A one-night deposit per room is required to
secure the reservation.
Check (made payable to The Otesaga Hotel) #_______________ Signature:
____________________________________
AMEX
MasterCard
VISA Exp. Date: __________ Card Number:
_________________________________
Customer Card ID # AMEX CID#__________MC/VISA CVV2#_______
PLEASE NOTE THE FOLLOWING
·
Reservations received after
reservation deadline are subject to availability.
·
The deposit is applicable to
the fulfillment of your designated length of stay.
·
Late arrival or early
departure causes forfeiture of deposit.
·
Cancellations or any changes
to arrival or departure dates must be made 14 days prior to arrival to avoid
deposit forfeiture.
·
Cancellations at any time
will incur a $45.00 administrative fee
·
The Otesaga Resort Hotel
will confirm reservation via mail upon receipt of this form.
·
The Otesaga Resort Hotel is
100% smoke free.
TAX EXEMPT STATUS
One of the following Tax Exempt Certificates
must accompany reservation request form to receive tax-exempt
status:
1) NYS TAX EXEMPTION – Form AC946
– or ST-129 from each person claiming exemption if they are paying with
cash, personal check or credit card (if state voucher is used no form is
needed).
2) TAX EXEMPT ORGANIZATION – Form
ST-119.1 – In order to receive exemption, payment must be made entirely by
the organization. Any occupancy, food & beverage, incidentals, etc. paid
for by a member of the tax-exempt organization with their own cash, check or
credit cards are taxable.
PLEASE RETURN FORM (BY
MAIL OR FAX OR E-MAIL) TO:
Otesaga Resort Hotel, c/o The Reservations Department
60 lake street, cooperstown, ny 13326
phone: 607/547/9931 OR 800/348/6222 fax: 607/547/9675 e-mail:
reservation1@otesaga.com