Promotional Package Survey Request Form

  • Primary Contact Information

  • Billing Information

  • General turnaround time on this shop is 7-10 days. Rush service is available on a case-by-case basis. Please call to confirm availability before placing a rush order.
    MM slash DD slash YYYY
  • Please enter promo code here if you have one.

  • Each date = Separately billed shop unless Alternates checked on the right. Eg. - Second Quarter, Spring of 2016, June 2016, etc.
  • If dates are not given: We will select a date 3 months from order date at our discretion that is on a weekday and not a USA Federal Holiday.
  • 5 hotels are included. Each additional hotel is an additional charge.
    Click the "+" sign at the end of each row of fields to add a new entry.
    Competitor Hotel NameHouse Phone Number (Please avoid toll free #'s) 
  • What is Researched?

    Availability, Price, Name of Package, What is Included in the Package
  • 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.