Group Shop Order Form - Hotel Information Service

Primary Contact Information

Name*

First Last

Phone*

Email*

Your Hotel*

Billing Name*

First Last

Billing Phone*

Billing Email*

Enter Email Confirm Email

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does Your Hotel or Management Company 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.

Competitor Hotel Name	In-house Phone Number