NAME
MAILING ADDRESS
CITY, STATE, ZIP
CONTACT PHONE NUMBER(S)
EMAIL ADDRESS
CONFIRM EMAIL ADDRESS
ARRIVAL DATE
DEPARTURE DATE
ROOM TYPE
NUMBER OF ADULTS
NUMBER OF CHILDREN
AGES OF CHILDREN
SMOKING PREFERENCE
AUTHORIZED PRICE
please confirm the price you
are expecting to pay.
   
STANDARD  
SUPERIOR  
DELUXE  
JUNIOR SUITE  
NOV 1-DEC 20
JAN 4-MAR 31
100
196
120
216
160
246
180
263
ADDITIONAL INFORMATION
use this section to give us
details of your requirements.
CREDIT CARD TYPE
CREDIT CARD NUMBER
EXPIRATION DATE
NAME ON CARD
   
 
 
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