SHRINE BAND ASSOCIATION OF NORTH AMERICA

   HOTEL RESERVATION IMPERIAL SESSION 2008

    
PLEASE PRINT and MAIL as DIRECTED           CURRENT  SBANA  MEMBER   YES____NO____

FOR THE 2008 ST. LOUIS IMPERIAL

                   NOBLE__________________________________________                PHONE (_______)____________________                                            
                                            (NAME)                                                                                         (AREA CODE)

ADDRESS___________________________       CITY_________________   STATE_______  ZIP ____________

SHRINE CENTER___________________________                       SPOUSE____________________________________
                                                                                                                                   (Only if attending)
I WILL BE ARRIVING ____    SUN. ____  (July 1)     OR INDICATE OTHER DATE________

I WILL BE LEAVING WED. ____  THURS.__        OR INDICATE OTHER DATE________TOTAL DAY STAY__________

(  ) DOUBLE BEDS      (  ) KING SIZE BED,  (  ) REQUEST ROOM NEAR TO ____________________
                                                                                                                                           (INDICATE NAME)
(  ) NON-SMOKING ROOM,  (  ) SMOKING ROOM, (  ) LOWER FLOOR,  (  ) HANDICAP FACILITIES.