2010 PAYMENT FORM

 

Please send back this form with any or all advance deposits.
The completed payment form is due with this form to ensure your reservation is processed

 

Room and tax totals per night:

Poolside Room:
$149.93 per night
3 night minimum total:
$449.79
Standard Room:
$127.04 per night
3 night minimum total:
$381.12
Parking Covered:
$20.00 per night
3 night minimum total:
$60.00**
         Uncovered:
$10.00 per night
3 night minimum total:
$30.00*




Standard Room:
$181.98 per night
2 night minimum total:
$363.96
Uncovered Parking:
$10.00 per night
2 night minimum total:
$20.00**

* Please note that the room/tax rates shown reflect the increase in Worcester and Massachusetts taxes that will go into effect on October 1, 2009.
**Full payment for parking is due at the time of your reservation.

 

REMINDER:
A minimum of one night’s room and tax is due at the time of your reservation.
Full payment must be received by June 1, 2010.
Payment in full must be received for any requests to be considered.

 

Enclosed you will find my payment in the amount of $ ___________________________

 

I am paying by:

 

_____ Check

_____ Money Order

_____ Credit Card*

* If paying by credit card, please complete the bottom portion of this form.

 

Card Type – please circle one:

 

         American Express         MasterCard         Visa         Discover         Diners Club

 

Card Number: ______________________________________    Exp. Date: ________

 

Card Holder’s Name: ____________________________________________________

 

Card Holder’s Signature: _________________________________________________

 

I hereby authorize the Crowne Plaza Hotel, in Worcester, MA, to charge my above listed credit card for the amount of $ ____________________.

  • Complete this payment form and return it with your Room Reservation Form and Parking Registration Form to:

Crowne Plaza Hotel

Attn: Reservations

10 Lincoln Square

Worcester, MA 01608

or fax forms to: 508-791-1796 Attn: Reservations

Hotel Use Only:

 

 

 

 

 

 

 

 

 

Date Received: __________________ Conf. Number: __________________ Balance Due: __________________