Hotel Order Request Form

One hotel order per traveler is required.  An Advance Travel Authorization form or email from your supervisor approving the travel is required prior to Hotel Order issuance.  Items marked with a * are required.  Please allow 3 days for processing.

Hotel Information

Hotel Name *: 

Street Address *:
Address (cont.)
City *:
State/Province *:
Zip Code *:
Phone *:
FAX:

Confirmation Number *:

Please provide the following traveler information

Name *:
Department *:
Work Phone:
E-mail:

Lodging Dates

From Night of *:    -- mm/dd/yy          To and including night of *:    -- mm/dd/yy

Charges

Daily Room Charge *:         Tax Percent or Dollars:   

Cost Center to be Charged

    Cost Center *:    

Supervisor/Dean/Chair authorizing expense *:   

Additional Information

Contact Person E-Mail (person completing request):   

Need by:    -- mm/dd/yy

Comments or Additional Instructions:


 

  
 
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