Hotel Reservations

Check-In Date:

Check-Out Date:

Adults:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Children:	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Rooms:	1 2 3 4 5 6 7 8 9
Rate Preference: Best Available AAA/CAA Membership Rate AARP Passport Entertainment Card German Automobile Club Government Canada Government/Military Rate-US Reward Nights State Government-US
Group Code:

Current Temp:
19° and Overcast

Please fill out the form below. * = required information

GENERAL INFORMATION
First Name:*
Last Name:*
Company:*
Address:*
Suite/Apt:
City:*
State:*
Zip:*
Email:*
Phone:*
Fax:
Type of Event:*
EVENT INFORMATION
Meeting/Event Name:
Brief Description of Event:
Arrival Date:
Departure Date:
Are these Date Flexible?:	Yes   No
Alternate Dates, if any:
OTHER INFORMATION
AV Required:	Yes   No
Food/Beverage Required:	Yes   No
Sleeping Rooms Required:	Yes   No
Preferred Method of Contact:
	Phone Email Fax Mail

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For more information contact:
Jessica Kremer - jessica@hilakeville.com