Hotel Registration InterContinental Chicago 505 North Michigan Avenue Chicago, IL 60611 USA The InterContinental Chicago is pleased to provide specially priced rooms for the INDA World of Wipes Conference. Please fill out this form and fax or email back to Andreana Leach. ALL REQUESTS MUST BE SUBMITTED IN WRITING. Ms. Leach does not work for the InterContinental Chicago, therefore reservations cannot be made by phone. Please be sure to submit your hotel request form by May 10, 2012 in order to secure the special group rate of $299.00. After May 10, 2012, rates and room availability cannot be guaranteed. Rate is non-commissionable. Room reservations may be made at these rates as long as rooms are available in the INDA group block. Please send this form to: Attention: Andreana Leach INDA, Association of the Nonwoven Fabrics Industry Telephone: (919) 233-1210 ext. 124 Fax: (866) 604-5074 or (919) 233-1282 Email: aleach@inda.org WOW 2012 – Hotel Reservation Form for InterContinental Chicago Name_____________________________________________________________________________ Company__________________________________________________________________________ Address___________________________________________________________________________ City_______________________________________ State__________ Zip Code_________________ Country________________________________E-Mail______________________________________ Telephone______________________________Fax ________________________________________ **Special Note: Monday, June 4, 2012, InterContinental Chicago is completely SOLD OUT** Arrival Date_____________________________ Departure Date______________________________ Please check preferred accommodation: [ ] Single ] Double (The InterContinental Chicago is a Smoke-free Facility.) Group rate is $299.00 per night plus tax. Guarantee: [ ] American Express [ ] MasterCard [ ] VISA Card #_______________________________________ Exp. Date_______________ Signature_____________________________________________________________