Unofficial Satellite Events Block Requests
Please enter your request for USE housing below. Note that all placements will begin in November pending USE confirmation by AHA.
• Non-Refundable deposit of two nights room and tax and list of names are due at time of confirmation

*All fields are required
Full Name: *
Contact Company: *
Financial Supporter of Event: *
Address: *
Address2:
City: *
State/Providence:
ZIP/Postal Code:*
Country:*
Phone:
(Indicate country/city code if applicable) *
Fax:
E-mail Address: *
Re-Enter E-mail Address: *


USE INFORMATION
Satellite ID#:
Event Type:
Event Date: mm/dd/yy
Start Time:       End Time:   
Estimated Attendance:


HOTEL

Where your USE is located
1.



ACCOMMODATIONS NEEDED
A maximum of 3 rooms may be requested per Unofficial Satellite Event.

USE Housing is only available to staff members working the event. USE Speakers, Event Chairs, etc. must secure housing via the "ASA Housing and Registration process."
WED THU FRI SAT SUN MON TUE WED THU
Date 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28
Single rooms
(1 person)
Double rooms
(2 people)
Twin rooms
(2 people / 2 beds)
Triple rooms
(3 people / 2 beds)
Quad rooms
(4 people / 2 beds)
Suites
Total # of Rooms


Suite Comments (please specify suites needs)



Comments



GENERAL INFORMATION

Inquiries only, call between 9AM – 7PM EDT, toll-free (877) 468-3548 or (212) 532-1660 (outside of North America) or email AHAHousing@tphousing.com.

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