EXECUTIVE INN RIVERMONT

WELCOMES

KENTUCKY ASSOCIATION For EARLY CHILDHOOD EDUCATION

SEPTEMBER 30 – OCTOBER 03, 2003

MAKE YOUR RESERVATIONS NOW

Group reservations are being held in the above name. If you call in your reservations, you must mention group name to get group rate. Please note that credit cards will be posted as prepayment. Check-in is 3:00 P.M. and Check-out is 11:00 A.M. Diners Club, American Express, Discover, MasterCard and Visa are accepted. The sleeping room rate is $72.00 for single, double, triple or quad occupancy, plus tax. The suite rate is $125.00 plus tax. Please note that cash paying guests will be required to deposit $10.00 per night at check-in to cover phone calls and additional charges such as in-room movies and room service.

KENTUCKY ASSOCIATION EARLY
CHILDHOOD EDUCATION : SEPTEMBER 30-OCTOBER 03, 2003

Last Name First Middle

Street Address

City State Zip

Work Phone Home Phone

CREDIT CARD INFORMATION

Please circle one:

Mastercard / Visa / American Express / Discover / Diners

Cardholder Name

Card Number Exp. Date

Cardholder Signature

ARRIVAL DATE: DEPARTURE DATE:

SHARING ROOM WITH:

Please indicate the number of rooms needed for each room type: Two Queen Beds One King Bed

Handicap Accessible (one king bed only) ______ Suite

Please indicate preferences for these rooms: Non-smoking Smoking

NOTE: ROOM TYPE AND PREFERENCE BASED UPON AVAILABILITY. THE ABOVE INFORMATION IS A REQUEST ONLY AND NOT A GUARANTEE.

For reservations, please FAX this form to 270-926-9047; or call our toll free reservation number 800-626-1936 or 270-926-8000, or mail this form to: Attention: Reservations Dept.

EXECUTIVE INN RIVERMONT

One Executive Blvd

Owensboro KY 42301

INDOOR POOL, BOUTIQUE SHOP, FITNESS CENTER, CANDY STORE, BEAUTY SHOP AND SPA PLUS MORE! NOTE: Reservations must be received no later than August 30, 2003.