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<b>CONTACT</b>
Salutation:
Mr.
Mrs.
Ms.
Miss
Dr.
First Name:
Last Name:
Company/Association:
Title:
Street Address:
Street Address (cont'd):
City:
State/Province (US/Canada):
ALABAMA
ALASKA
ALBERTA
AMERICAN SAMOA
ARIZONA
ARKANSAS
ARMED FORCES - AMER
ARMED FORCES - EJEA
ARMED FORCES PACIFIC
BRITISH COLUMBIA
CALIFORNIA
CANAL ZONE
CANTON, ENDERBURY IS
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
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IDAHO
ILLINOIS
INDIANA
IOWA
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KANSAS
KENTUCKY
LOUISIANA
MAINE
MANITOBA
MARIANA ISLANDS
MARSHAL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MICRONESIA
MIDWAY ISLANDS
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW BRUNSWICK
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NEWFOUNDLAND/LABRADOR
NORTH CAROLINA
NORTH DAKOTA
NORTHWEST TERRITORIES
NOVA SCOTIA
NUNAVUT
OHIO
OKLAHOMA
ONTARIO
OREGON
PALAU
PENNSYLVANIA
PRINCE EDWARD ISLAND
PUERTO RICO
QUEBEC
RHODE ISLAND
RYUKYU ISLANDS
SASKATCHEWAN
SOUTH CAROLINA
SOUTH DAKOTA
SWAN ISLANDS
TENNESSEE
TEXAS
U.S. VIRGIN ISLANDS
US MISC. CARIBBEAN
US MISC. PACIFIC IS.
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WAKE ISLAND
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
YUKON
Zip/Postal Code:
Country:
United States
United Kingdom
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla-St K-Nevis
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Ashmore-Cartier Isl
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
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Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bosnia & Herzegovina
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Bouvet Island
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Brit Ind Ocean Ter.
British Virgin Isl
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Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean
Cayman Islands
Central African Rep
Chad
Channel Islands
Chile
China-P.R.C.
Cocos (Keeling) Is.
Colombia
Comoros
Congo
Cook Islands
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Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
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East Timor
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El Salvador
England
Equatorial Guinea
Eritrea
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Ethiopia
Europe (Generic)
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Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French South Terr.
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard Is-Mcdonald Is
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Indonesia
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Mali
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Mayotte
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Mongolia
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Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
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Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Isl
Norway
Oman
Pakistan
Palau
Palestinian Auth
Panama
Papua New Guinea
Paraguay
Peru
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Pitcairn
Poland
Portugal
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Qatar
Reunion
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S Georgia-S Sandw Is
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Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Helena
St Kitts & Nevis
St Lucia
St Pierre & Miquelon
St Vinc/Grenadines
Sudan
Suriname
Svalbard-Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
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Turkmenistan
Turks & Caicos Isl.
Tuvalu
US Min Outlying Isl
US Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wales
Wallis and Futuna
West Bank
Western Sahara
Western Samoa
Yemen
Yemen (Sanaa)
Zambia
Zimbabwe
Phone Number:
Fax Number:
Email Address:
Worldwide Corp Acct Nbr:
Priority Club Nbr:
Contact Preference:
Email
Phone
Fax
Postal Mail
Event Information:
Event/Group Name:
Date
Month
Year
Arrival Date:
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JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2007
2008
2009
2010
2011
2012
2013
2014
2015
Departure Date:
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JUN
JUL
AUG
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OCT
NOV
DEC
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2011
2012
2013
2014
2015
Alternate Arrival Date:
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APR
MAY
JUN
JUL
AUG
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OCT
NOV
DEC
2007
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2012
2013
2014
2015
Alternate Departure Date:
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JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
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OCT
NOV
DEC
2007
2008
2009
2010
2011
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2014
2015
Response Due Date:
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JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2007
2008
2009
2010
2011
2012
2013
2014
2015
Decision Date:
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JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2007
2008
2009
2010
2011
2012
2013
2014
2015
Package/Promotion Req:
Event Requirements
Event Requires:
Event Space Only
Sleeping Rooms Only
Both
Stay 6 nights and get the 7th Free
Stay on the weekends and get 20% off
Stay Sunday night and get our low rate of $79. Not valid high season
Other Williamsport Hotels
Best Western Williamsport
Located next to Candlewood Suites. Affordable rates. Pool. Conference & Banquet Rooms
visit website
Fairfield Inn and Suites
New construction, indoor pool, suites available.
visit website
