Boxcar Association - 178th Assault Support Helicopter Company

August 10th - 13th, 2000

$72.00 Plus Tax; Valid Thursday, Friday and Saturday

Please Print

Please Reserve _______ Room(s) For ______ People. Arrival ________ Departure ________

Please indicate the number of rooms requested by each of the following bed types:

_________King Smoking __________King Non-Smoking _______2 Doubles, Smoking ________2 Doubles, Non-Smoking
* A limited number of non-smoking and double rooms are available on a first come, first served basis *

Check-in time is 3:00 pm .... Check-out time is 12:00 pm

Estimated Time of Arrival __________________

Name _____________________________________ Sharing With__________________________________

Street Address __________________________________________________________________________

City, State ______________________________________________________

Credit Card Number For Guarantee __________________________________ /Exp Date_____________

Type of Credit Card _____________________________

** One Night's Deposit or Credit Card Required With This Reservation **

** Reservations Are Subject to Availability if Received After July 20, 2000

A Limited Number of Rooms Have Been Reserved For Your Group. Once this "Block" is Filled, Rooms and Rate are Subject to Availablity.
** If You Are In Need Of Dates Other Than Those Listed Above, Please Call Hotel Directly **

PLEASE FORWARD THIS FORM TO:

OMAHA MARRIOTT HOTEL
10220 REGENCY CIRCLE
OMAHA, NE 68114
ATTN: RESERVATIONS DEPARTMENT
(800) 228-9290