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HOTEL RESERVATION FORM
Please fill out the following information to start your hotel reservation process for
Best Western Plus St. Rose Parkway
Standard King Bed
2 Queen Beds
1 Bedroom Suite
Arrival Date (mm/dd/yy)
Departure Date (mm/dd/yy)
# of Rooms
Please enter your facility code if provided by the practice or facility your appointment is at.
Upon submission, a Medical Travel Concierge will place your hotel reservation at selected hotel and send you your confirmation # and instructions to contact the hotel to provide your credit card within 72 hours from making the reservation. Your reservation will be cancelled if a credit card is not placed on the reservation. If you have any questions feel free to contact us at (702) 202-2107 or at email@example.com. By submitting a hotel reservation request through our site, you must abide by the hotel’s cancellation policies. Eventure nor the medical facility or practice is financially responsible for the reservation or any other charges associated with the reservation.
I Understand And Agree To The Above
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