» Hotel Reservations – Special Request Form

I. GUEST INFORMATION

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone:

Check-in Date:

Select one.

Check-out Date:

Select one.

Number of Nights:

Number of Rooms:

Accompanying:

If yes, indicate number of accompanying persons.

Room Type

Hotel Option

Sheraton Lincoln Harbor Hotel – 500 Harbor Blvd, Weehawken, NJ 07086

Hotel Option

Westin Jersey City Newport Hotel – 479 Washington Blvd, Jersey City, NJ 07310

Guests responsible to pay all charges at time of check-out

Credit Card

Card Number

Expiry Date: (mm/yy)

Card Holder: Name

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