Travel Registration Form, UCSF Oral Surgery Hawaii 2016

Main Travel Dates:
Saturday, January 23 or Sunday, January 24 to Saturday, January 30 Grand Hyatt Kauai 
(Pre-conference also is offered at St. Regis Princeville with recommended arrival as early as Thursday, January 21) 
University Travel
1888 Eucalyptus Road
Nipomo, CA 93444
University Travel Oral Surgery Desk: (818) 563-9235

Or general numbers; (818) 563-9808 (ext.201)   Toll-Free Nationwide: (800)-821-5094

FAX: (818) 563-9842      e-mail:

Deposits may be paid by check or by credit card information below.
CST registration # 1015591-40  

California Seller of Travel Information available here:


Accompanied by (please list children's ages if 18 or under).
* Grand Hyatt Kauai Room Requirement
* Include St. Regis Princeviile Pre-Conference Stay (Ocean View Room)
* Flights:
Hotel Bedding Preference (Note request only, not guaranteed)
Note regarding flights: Due to recent security requirements, please call our office at (800) 821-5094 or (818) 563-9808 with the following information: flight reservations now require passengers to use the full name exactly as shown on your picture identification including middle name(s). Passengers date of birth and gender are also required.
* Rental Car
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Secure Credit Card Information:  (Please note - your card is not charged upon submission - we will charge it at the University Travel office once all of your reservations are confirmed).
American Express
Thank you! You will receive an acknowlegment e-mail followed by a email confirmation package.
* Indicates Response Required