HOTELS AND LOCATIONS Name Company Address City Country Telephone ( E-mail Arrival Date HOTEL PREFERRED First Choice Third Choice Departing Date Second Choice Fourth Choice ) Fax ( ) Zip/Postal Code State/Province Single $359 Double $239 $309 $289 $249 $249 $259 $209 $329 $299 $319 $279 $249 $319 $269 $325 $299 $259 $369 $339 $299 $245 $259 $269 $259 $299 $299 $249 $209 $199 $239 $339 $309 $269 $329 $329 Please call for suite rates. HOTEL RESERVATION FORM 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. If none of your choices are available, we will select another hotel based on comparable room rate. Single Double Special needs ONLY submit one housing application per room. Name of all room occupants: 1. 3. PAYMENT METHOD Visa Credit Card # Print Name Name as it appears on card 12. $349 $249 $329 $379 $362 $249 $299 $259 13. 2. 4. MasterCard American Express Exp. Date 14. 15. 16. 17. 18. Signature Indicates approval for charges to your account 19. 20. 21. Double Single $359 23. New Yorker Hotel $239 34th St. & 8th Avenue 24. Novotel $309 $269 52nd St. & Broadway 25. Omni Berkshire Place $289 $325 52nd St. & Madison Avenue 26. On The Avenue $229 $299 77th St. & Broadway 27. Paramount Hotel $229 $259 46th St. bet. 7th & 8th Avenues 28. Park Central $239 $409 55th St. & 7th Avenue 29. Radisson Lexington Hotel $189 $339 Lexington Avenue bet 47th & 48th Streets 30. Renaissance Times Square $329 $299 7th Avenue bet. 47th & 48th Streets 31. Royalton Hotel $299 $245 44th St. bet. 5th & 6th Avenues 32. Sheraton New York $319 $259 52nd St. & 7th Avenue 33. The Carlton Hotel $279 $269 Madison Avenue bet. 28th & 29th Streets 34. The Kitano $249 $259 Park Avenue & 38th Street 35. The Manhattan at Times Square Hotel $319 $299 7th Avenue bet. 50th & 51st Streets 36. The Muse New York - A Kimpton Hotel $349 $319 46th St. bet. 6th & 7th Avenues 37. The Roosevelt Hotel $249 $249 45th St. & Madison Avenue 38. The W - New York $329 $209 Lexington Avenue bet. 49th & 50th Streets 39. The W - Times Square $379 $219 47th St. & Broadway 40. The Westin New York $362 $239 43rd St. & 8th Avenue 41. Wingate - Manhattan Midtown $249 $339 35th St. bet. 7th & 8th Avenues 42. Wyndham Garden Hotel - Chelsea $279 $309 24th St. bet. 5th & 6th Avenues 43. Wyndham Garden Hotel - Midtown $239 $269 36th St. bet. 8th & 9th Avenues RESERVATIONS/DEPOSITS. All reservations are being coordinated by Experient Housing. Arrangements for housing must be made through Experient Housing and NOT with the hotel directly. All housing reservation forms must be received by 10/31/10. After 10/31/10 changes will be based on hotel availability. DEPOSITS: A credit card number is required to guarantee your reservation. Credit cards will be charged in the amount of 1 night’s room & tax for cancellations received within 72 hours of arrival. ROOM CHARGES ARE SUBJECT TO 14.75% SALES TAX, PLUS $3.50 PER NIGHT PER ROOM OR $7.00 PER SUITE 22. New York Marriott Marquis Headquarters Hotel 45th St. & Broadway Affinia Manhattan 31st St. & 7th Avenue Bryant Park Hotel 40th St. bet. 5th & 6th Avenues Courtyard - Midtown East 53rd St. & 3rd Avenue DoubleTree - Metropolitan 51st St. & Lexington Avenue DoubleTree - Times Square 47th St. & Broadway Eventi - A Kimpton Hotel 6th Avenue bet. 29th & 30th Streets Fashion 26 26th St. bet. 6th & 7th Avenues Four Points by Sheraton 40th St. bet. 8th & 9th Avenues Hampton Inn Times Square 51st St. & 8th Avenue Hilton Garden Inn/West 35th Street 35th St. bet. 5th & 6th Avenues Hilton Garden Inn Times Square 48th St. & 8th Avenue Hilton New York 53rd St. & 6th Avenue Hilton Times Square 42nd St. bet. 7th & 8th Avenues Holiday Inn - 57 Street 57th St. bet. 9th & 10th Avenues Hotel 30/30 30th St. bet. Park & Madison Avenues Hotel Pennsylvania 33rd St. & 7th Avenue Hudson Hotel 58th St. bet. 8th & 9th Avenues Ink48 - A Kimpton Hotel 11th Avenue & 48th Street Le Parker Meridien 56th St. bet. 6th & 7th Avenues Millennium Broadway Hotel 44th St. bet. 6th Avenue & Broadway New York Marriott Eastside Lexington Avenue & 49th St. NOTE: Hotel reservations are limited to Meeting attendees only. ACKNOWLEDGEMENTS Confirmation will be mailed, faxed or e-mailed to you from Experient Housing once your reservation has been secured with a deposit. You will not receive a confirmation from your hotel. If you do not receive a confirmation within two weeks, please call Experient Housing. W������ www.gnydm.com H������ E���� gnydm@experient-inc.com CHANGES/CANCELLATIONS 11 All hotel reservations must be made with Experient housing on or before 10/31/10. After 10/31/10 changes will be based on hotel availability. PRIOR TO 72 HOURS BEFORE ARRIVAL DATE, CHANGES AND CANCELLATIONS MUST BE MADE WITH YOUR ASSIGNED HOTEL. At that time cancellations are subject to a charge of 1 night’s room and tax on the credit card used as a guarantee. Room charges are subject to 14.75% sales tax, plus $3.50 per night per room. M��� �� F�� ��: Greater New York Dental Meeting C/O Experient Inc. P.O. Box 4088 Frederick, MD 21705-4088 USA Tel: (866) 229-2386 (Toll Free Domestic) Tel: (301) 694-5243 (International) Fax: (301) 694-5124http://www.gnydm.com