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.