Promotional Package Report Order Form - Hotel Information Service

Promotional Package Survey Request Form

Primary Contact Information
Name*
First Last
Phone*
Email*
Billing Information
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?
Due Date*
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
Promo Code?
Please enter promo code here if you have one.
DATES TO BE RESEARCHED & ADDITIONAL INFORMATION
DATES TO BE RESEARCHED
Each date = Separately billed shop unless Alternates checked on the right. Eg. - Second Quarter, Spring of 2016, June 2016, etc.
DATES TO BE RESEARCHED FLEXIBLE?*
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.
- Yes
- No
DATES LISTED: ADDITIONAL OR ALTERNATES?
- Addtional
- Alternates
Competitor Hotels*
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 Name House Phone Number (Please avoid toll free #'s)
What is Researched?
Availability, Price, Name of Package, What is Included in the Package
ADDITIONAL NOTES & COMMENTS
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.

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Competitor Hotel Name	House Phone Number (Please avoid toll free #'s)

Promotional Package Survey Request Form

Primary Contact Information

Billing Information

DATES TO BE RESEARCHED & ADDITIONAL INFORMATION

What is Researched?

Terms Of Acceptance & Signature

OUR PROMISE TO YOU