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Corporate Request Form

To request a Corporate Account, complete this form and submit your request at the end by clicking on the "Submit" button. Items marked with an asterisk (*) are required fields.




* Company Name:
* Address:
* City:
* State/Province:
* Zip/Postal Code:
Country:
* Phone Number:
Fax Number:
* Contact Person:
Title:
Business Type:
* Email Address:
Headquarters/Regional Office:
* Approximate motel room nights used per month:
* Number of corporate travelers within your organization:
List the cities your corporate travelers visit the most and provide the estimated number of motel rooms used in each city:
Please list motels that you currently use:
Travel Agency Information
Is your corporate travel handled by a travel agency:	Yes No
If yes, indicate the agency name:
Address:
City:
State/Province:
Zip/Postal Code:
Reservation System:
Phone Number:
Fax Number:
ARC/IATA #: