Ticket 2 Travel

Silicon Valley Leadership Group Washington, D.C. Advocacy Trip
The Jefferson Hotel
April 17-19, 2012

IMPORTANT NOTE: Please complete this registration form to request lodging at the Jefferson Hotel. Ticket to Travel will handle all hotel reservations, changes to reservations and cancellations, however, will not collect payments. Your hotel registration information will be forwarded to SVLG for collection of associated program fees and hotel costs.

For any questions about the itinerary for the D.C. trip, please contact the Silicon Valley Leadership Group -- Kirk Everett (408-501-7856 or keverett@svlg.org), Emily Lam (408-501-7876 or elam@svlg.org) or Grace Kay (408-501-7851 or gkay@svlg.org).

To change or cancel reservations after registering, please contact Anita by email or call (408)531-9228

Trip:	April 17-19, 2012 - Silicon Valley Leadership Group Washington, D.C. Advocacy Trip The Jefferson Hotel
Company Name:
Name of Participant:
Title:
Address:
City:
State:
Zip:
Business Phone:
Cell Phone
Email Address:
Date of Arrival:
Date of Departure:
Rooming With:
Smoking:	Yes No
Bedding:	2 Beds King Bed
Special Needs:
Additional Room Nights:
Contact Person for the above Participant
Title:
Phone:
Email Address:
Is this a change to the original request?	Yes No
Additional Comments:

Note: You will still need to register for the trip with SVLG even if you reserve a hotel room. Additional Room Nights: You would be charged by SVLG $395.00, plus 14.5% taxes for any additional room nights beyond the registration fee. Total rate for each additional night at the Jefferson Hotel, Washington DC, inclusive of all taxes and fees - $452.28

Silicon Valley Leadership Group Washington, D.C. Advocacy Trip The Jefferson Hotel April 17-19, 2012

Silicon Valley Leadership Group Washington, D.C. Advocacy Trip
The Jefferson Hotel
April 17-19, 2012