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Please note: The Hyatt Regency Vancouver is sold out for the night of July 16. If you require accommodation for this date we suggest you reserve accommodation at the Sutton Place Hotel, a short walk away from the Congress hotel. 

Please complete this form, print and fax/mail to:
The Hyatt Regency Vancouver
Reservations Department
1 Discovery Square
655 Burrard Street
Vancouver, British Columbia V6C 2R7
Canada

Toll Free: +1 800 233 1234
Tel: +1 604 683 1234
Fax: +1 604 689 3707
Reservations Fax: + 1 604 639 4829
You can download this form in PDF format (11Kb)  

Please complete the following information and return by June 24, 2005.

This is a reservation request only. Your group has reserved a block of rooms at the Hyatt Regency Vancouver. This reservation will be honored until the block of rooms have been filled or until June 24, 2005. If a room has been secured for you at the Hyatt Regency Vancouver, written confirmation will be mailed to you by the Reservations Department.

Guest Name: __________________________________________________

Accompanying Person(s): _________________________________________

Company Name: ________________________________________________

Street Address: _________________________________________________

City: _________________________ State/Country: ___________________

Zip/Postal Code: ________Telephone: _________________________________

Fax: ______________ E-mail: _____________________________

Hyatt Gold Passport Number: _____________________________________

Convention/Group Code: 12th World Congress on Heart Disease _________
(Hotel use only)

Arrival Date: _______________ Arrival Time: ____________ Departure Date: _________

Preferred Accommodation (subject to availability):
 Smoking
Non-smoking
 Single: One person
King: Two persons - one bed
 Double/Double - Two persons - two beds
 

Room Rates: Single Double Triple Quad
  US$150 US$150 US$200 US$225

Rates for suites are available upon request.

** Rates do NOT include the 10% Provincial Rooms Tax and the 7% Federal Goods & Services Tax (GST).

Do you require a room accessible to the physically challenged? Yes No

*** Please note: One night's room deposit must accompany this Reservation Request in order to confirm your reservation. Upon check-out, you will be charged for ALL nights confirmed above. Your reservation will NOT be confirmed until we receive your deposit. In the event you need to cancel, please do so prior to May 31, 2005 in order to receive a full deposit refund. After this date, no refund can be made.

Advance deposit can be made by cheque or credit card. If a cheque is enclosed, please mark here.

If you will be making an advanced deposit by credit card, please complete the information needed below:

Guest Name: ________________________________________________
Street Address: _______________________________________________
City, State: ___________________________________________________
Country: _______________________________ Postal Code: __________
Telephone: ________________________

Method of Payment: American Express Visa MasterCard
Credit Card No.: _________________________
Expiration Date: _________ (month/year)

Signature: _______________________________ Date: ___________

Please note: If you wish to make a direct bank wire transfer of your deposit, please contact the Reservations Department at the Hyatt Regency Vancouver for further instructions.