» Hotel Reservations – Special Request Form

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Hotel Reservation 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:
II. HOTEL ACCOMMODATIONS
Check-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 Option
Sheraton Lincoln Harbor Hotel – 500 Harbor Blvd, Weehawken, NJ 07086
- USD $239/night (Single)
- USD $239/night (Double)
Hotel Option
Westin Jersey City Newport Hotel – 479 Washington Blvd, Jersey City, NJ 07310
- USD $229/night (Single)
- USD $269/night (Double)
III. RESERVATION GUARANTEE
Guests responsible to pay all charges at time of check-out
Credit Card
- VISA
- MasterCard
- AMEX
- JCB
Card Number
Expiry Date: (mm/yy)
Card Holder: Name
Captcha

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