Block Request Form

American Diabetes Association - 82nd Scientific Sessions Room Block Request

General Information:

Complete and submit this online Block Request Form if you need to reserve 2 or more rooms.

Requests received will be assigned on a first-come, first-served basis and are based on hotel availability. Depending on the number of rooms requested, you may be assigned to more than one hotel.

All online reservation requests require a credit card guarantee.

The hotel room rates include a rebate to offset the costs of shuttle bus service and meeting expenses.

Should you need to change your original request after submitting it, please notify ADA Housing: Send us a message or call 866.290.9910 (U.S. & Canada) or +1.415.268.2086 (International).

(*Asterisks designate required fields)

Residents of Canada and Japan, please select your country before choosing your province.

Correspondence should be sent to:

Company*

Contact Name*

Address*

Address 2

City*

State/Province

Zip/Postal Code*

Country*

Phone*

Ext.

Cell Phone (onsite)

Email*

Secondary Group Contact Name

Secondary Group Contact Email

Hotel Choices:

Please provide 6 hotel choices in order of preference. Every effort will be made to accommodate your first choice hotel. If your preferred hotels are not available, ADA Housing will contact you with other hotel options. Please note that the Hilton New Orleans Riverside Hotel will be limited to no more than 30 rooms per group.

1st *

2nd *

3rd *

4th *

5th *

6th *

Housing Policies:

Please note, group blocks are not able to bundle breakfast (if not already included by hotel) onto the existing room rates.
If you had a room block at past ADA meetings, your history of rooms reserved versus rooms utilized will be reviewed. ADA Housing reserves the right to make adjustments to your room block based on past history.
For 2022, Groups may not request an increase over the three main nights based on 2019 actualized numbers, if applicable.
All reservation changes and/or cancellations must be made through ADA Housing. Do not contact the hotel(s) directly.
A login and password will be e-mailed to the Group contact for online room block management.
10 rooms or more: April 15, 2022 - Rooming lists with complete names and addresses are due to ADA Housing. Any unused rooms, where names have not been provided by this date, will be released.
9 rooms or less: April 15, 2022 - All individual names must be provided. No duplicate names will be accepted.
After April 15, 2022, ADA Housing will continue to process reservations and changes subject to hotel availability.

Rooms/Suites Block Request

Rooms

Wed
Jun 1

Thu
Jun 2

Fri
Jun 3

Sat
Jun 4

Sun
Jun 5

Mon
Jun 6

Tue
Jun 7

Suites

Total

Non-exhibiting companies may not use a suite to promote products. If a company has products that are relevant to the attendee, then they are required to exhibit. ADA reserves the right to deny suite requests to companies that violate these policies.

For suite requests, please indicate the use of your suite:

Sleeping Hospitality / Meeting N/A

Deposit Information:

All room block requests submitted online must be guaranteed with a credit card.

Deposit Policy: All hotel reservations must be guaranteed by a major credit card or by a check deposit for one night’s room and tax drawn on a U.S. bank, in U.S. dollars, made payable to CMR/ADA Housing. Deposits paid by check will require a credit card to guarantee the room block until the check payment is received. The deposit will appear on the hotel room account of each guest at check in. Refunds will not be issued until after the meeting and upon receipt of your actual pick-up from the hotel(s).

Financial Information:

Card Type*

Credit Card No.*

Credit Card Holder's Name*

Expiration Date*

Attrition/Cancellation Policy:

For 2022, ADA will not enforce a performance/attrition policy. Rooms assigned will be based on 2019 history. ADA will not accept increases in room requests for 2022.

Should a group cancel their entire block (blocks of 10 rooms or more) they will be responsible for the following penalties*:

May 3, 2022 - June 3, 2022 50% of the Total Room/Suite Nights x the Single Room Rate

All cancellations must be made in writing and sent via fax or e-mail to ADA Housing. Individual reservations must be cancelled at least 72 hours prior to your scheduled arrival to avoid penalty charges. If you do not cancel your reservation in time or fail to check in on the scheduled date of arrival your credit card will be charged in the amount of one night’s room and tax or your check deposit will be forfeited. Your reservation will also be cancelled for the remainder of the stay.

*If your group is unable to attend due to circumstances related to COVID-19, you may cancel your reservation up to until 72 hours prior to arrival without penalty.