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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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 NumberExpiry Date: (mm/yy)Card Holder: NameCaptcha Δ
