Group Shop Order Form - Hotel Information Service

Your Hotel*
Name*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Do you have a contract?*
Part of a management group?
If your management group is where the contract is through please list your management group here.
Promo Code?
Please senter promo code if you have one.

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Review & Submit
Please review your submission before accepting the terms and clicking submit.
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Terms Of Acceptance & Signature
I warrant that I have the authority to place this order (defined in the fields submitted) and that my company, or I, will submit full payment for said order as per the pricing laid out in the current Hotel Information Service price list, promotional pricing based on inputted Promo Code in the space provided under Due Date of this form or my company’s last signed service agreement with Hotel Information Service if “Do you have a contract” was answered “Yes” in this form.
Acceptance*
- By checking this box, I agree that the submission of this form will serve as my legal signature.
Newsletter Signup
- Check here to sign up for our monthly newsletter that contains big discounts that are only available to our Newsletter Subscribers!

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DATES TO BE RESEARCHED & ADDITIONAL INFORMATION

Competitor Hotel Name	In-house Phone Number