Arrive
Depart


 


Please complete the following form, for a Holiday Resort Hotel representative will be contacting you to secure your reservation.

Title:
( * = Required Information)
*First Name:
*Last Name:
*Phone:
*Email:

Arrive

Depart

4

Credit Card:
Card Number:
Expiration Date:
Name on Card:
Billing Address:
City:
State:
Zip:


4


Organization:
Address:
City:
State:

Zip:


3

Bedding Preference:
Smoking Preference:
Early Arrival/Check-in Late Arrival/Check-in
High Floor Low Floor
Comments:
Travel Agency ID:
Corporate ID:

2


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