FRATERNAL ORDER ORIOLES – SUPREME NEST

2009 CONVENTION RESERVATION FORM

Convention Dates: Saturday, August 1, 2009 through Friday, August 7, 2009

Group Name:  Fraternal Order of Orioles Convention 2009 - Booking Code:  OR1099

PLEASE PRINT:

Arrival Date:___________________  Departure Date:___________________Total Nights _____

Rates: $99.00 for all rooms main hotel  $109.00 River Front rooms

Total with tax: $109.89 per nightTotal w/tax: $120.99  per night (Tax 11%)

Room Preference*    _____ 2 Queen Beds    _____ King Bed    _____ Handicap Room

*Bed type cannot be guaranteed however, best effort to accommodate your request will be made.

Name: _______________________________________________NEST # ________________

Address: ____________________________________________________________________

City, State, Zip Code:   _________________________________________________________

Daytime Telephone: (Area Code & Number)  (___ ___ ___)  ___ ___ ___  -  ___ ___ ___ ___

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One night room deposit paid by check or credit card MUST accompany your reservation

PAYMENT:     ___Check Enclosed - Make Payable to Capt. Hiram’s Resort

   ____ Credit Card:  _____ American Express  _____ Master Card  _____Visa  _____ Discover

Credit Card # _______________________________________ Expiration Date: ____________

   Signature: ___________________________________________

                       (Signature Required for Credit Card Reservations)

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Mail Reservation Form to:

Capt. Hiram’s Resort

1606 North Indian River Dr.

Sebastian, FL  32958

Phone:  772-388-8588

FAX:    772-388-3118

TOLL FREE:  1-888-447-2671

Click here to visit Capt. Hirams web site

DEADLINE FOR ALL RESERVATIONS IS WEDNESDAY, JULY 1, 2009

All rooms are Non Smoking – Outdoor Heated Pool – Small Refrigerator in Every Eoom

Complimentary Wireless Internet – Complimentary Continental Breakfast

Check In Available after 3 P.M.Check Out Before 11 A.M.

Capt. Hiram’s has a 48 hour cancellation policy