2008 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: $147.31 per night 3 night minimum total: $441.93
Standard Room: $124.82 per night 3 night minimum total: $374.46
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 $178.80 per night 2 night minimum total: $357.60
Uncovered Parking $10.00 per night 2 night minimum total: $20.00*
*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, 2008. 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 $ ____________________.
Crowne
Plaza Hotel
Attn:
Reservations
10
Lincoln Square
Worcester,
MA 01608
or fax forms to: 508-791-1796 Attn:
Reservations
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Date Received:
__________________ Conf. Number: __________________ Balance Due:
__________________ |
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