View PDF version Hotel Reservation Special Request Form I. GUEST INFORMATIONName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email Phone: II. HOTEL ACCOMMODATIONSCheck-in Date:Select one. Monday, June 13, 2016 Tuesday, June 14, 2016 Wednesday, June 15, 2016 Thursday, June 16, 2016 Friday, June 17, 2016 Saturday, June 18, 2016 Sunday, June 19, 2016 Check-out Date:Select one. Monday, June 13, 2016 Tuesday, June 14, 2016 Wednesday, June 15, 2016 Thursday, June 16, 2016 Friday, June 17, 2016 Saturday, June 18, 2016 Sunday, June 19, 2016 Number of Nights:Number of Rooms:Accompanying: Adult Child Infant If yes, indicate number of accompanying persons. Room Type Traditional Single Room - King Bed (Non-smoking) Traditional Single Room - King Bed (Smoking) Traditional Single Room - Two (2) Double Beds (Non-smoking) Traditional Single Room - Two (2) Double Beds (Smoking) Deluxe Double Room - Two (2) King Beds (Non-smoking) Deluxe Double Room - Two (2) King Beds (Smoking) Deluxe Double Room - Two (2) Double-Double Beds (Non-smoking) Deluxe Double Room - Two (2) Double-Double Beds (Smoking) Hotel OptionSheraton Lincoln Harbor Hotel – 500 Harbor Blvd, Weehawken, NJ 07086 USD $239/night (Single) USD $239/night (Double) Hotel OptionWestin Jersey City Newport Hotel – 479 Washington Blvd, Jersey City, NJ 07310 USD $229/night (Single) USD $269/night (Double) III. RESERVATION GUARANTEEGuests responsible to pay all charges at time of check-outCredit Card VISA MasterCard AMEX JCB Card Number Expiry Date: (mm/yy) Card Holder: Name Captcha Δ
