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Public Investors Advocate Bar Association
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PIABA Hill Day Hotel Reservation Form
Account ID
First Name
Last Name
Email
Email
Confirm email
Home City, State
Room Information
Arrival Date
Departure Date
Room Type
- Select -
Single, King ($450/night+ for nights March 5-March 7) ($189/night+ for nights March 8-March 11)
Double, Queen ($450/night+ for nights March 5-March 7) ($189/night+ for nights March 8-March 11)
No. of People
- # of People -
1
2
3
4
Sharing with
Reward Program Number
PAYMENT
Credit Card Type
- Credit Card Type -
Visa
Master Card
Amex
Discover
Card Number
Expiration Date
Security Code
Name on Card
Billing Address
Billing Zip Code
Cardholder's Signature
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