Group Reservation Form
Hotel Reservation Form
NEOA Trio Day
February 17, 2016 thru February 19, 2016
Contact Information
Name: ________________________________________
City/State/Zip: _______________________________
Institution: _____________________________________
Phone Day: _________________________________
Program: ______________________________________
Phone Night: ________________________________
Address: _______________________________________
Email: _____________________________________
______________________________________________
All reservations must be guaranteed by a major credit card or a first night’s room deposit plus tax*. The following card
will be charged three (3) days prior to arrival. If paying by check, please mail payment with this form in order to
confirm your reservation.
Please make checks payable to the Sheraton Burlington Hotel & Conference Center.
Credit Card # ____________________________________________ Expiration Date: _____________
Cardholder’s name (please print): ___________________________________________
Mail, Email or Fax all Hotel Registration forms to Leslie Mercy at the
Sheraton Hotel. Reservations must be made through Leslie for the
Special TRiO Day Package.
Leslie Mercy, Sales Office
Sheraton Burlington Hotel & Conference Center
870 Williston Road
Burlington, VT 05403
Leslie.Mercy@sheraton.com
P: 1-802-865-6663
F: 1-802-865-6617
Please fill out the following for each guest room. A guest name must be provided for each room.
Dates of Stay
Please check each day you are staying overnight:
□
Wed February 17, 2016
(One Night Stay/2 meals)
Single-$171.25
Double-$115.15(per person 2 in room)
Triple- $96.45 (per person 3 in room)
Quad - $87.10 (per person 4 in room)
Guest Name (s) – maximum of four per room:
1. __________________________________
2. __________________________________
3. __________________________________
4. __________________________________
□
Thu February 18, 2016
(Two Night Stay/3 meals)
Single - $299.35
Double - $187.35 (per person 2 in room)
Triple - $149.95 (per person 3 in room)
Quad - $131.25 (per person 4 in room)
Room Type Request
Please check on of the following:
(1) King Bed
□
(2) Double Beds
* PLEASE LET US KNOW IF THERE ARE ANY SPECIAL DIETARY NEEDS*
□
Dates of Stay
Guest Name (s) – maximum of four per room:
Please check each day you are staying overnight:
1. __________________________________
□
Wed February 17, 2016
(One Night Stay/2 meals)
Single-$171.25
Double-$115.15(per person 2 in room)
Triple- $96.45 (per person 3 in room)
Quad - $87.10 (per person 4 in room)
2. __________________________________
3. __________________________________
4. __________________________________
□
Thu February 18, 2016
(Two Night Stay/3 meals)
Single - $299.35
Double - $187.35 (per person 2 in room)
Triple - $149.95 (per person 3 in room)
Quad - $131.25 (per person 4 in room)
Room Type Request
Please check on of the following:
(1) King Bed
□
(2) Double Beds
* PLEASE LET US KNOW IF THERE ARE ANY SPECIAL DIETARY NEEDS*
□
Dates of Stay
Guest Name (s) – maximum of four per room:
Please check each day you are staying overnight:
1. __________________________________
□
Wed February 17, 2016
(One Night Stay/2 meals)
Single-$171.25
Double-$115.15(per person 2 in room)
Triple- $96.45 (per person 3 in room)
Quad - $87.10 (per person 4 in room)
2. __________________________________
3. __________________________________
4. __________________________________
□
Thu February 18, 2016
(Two Night Stay/3 meals)
Single - $299.35
Double - $187.35 (per person 2 in room)
Triple - $149.95 (per person 3 in room)
Quad - $131.25 (per person 4 in room)
Room Type Request
Please check on of the following:
(1) King Bed
□
(2) Double Beds
* PLEASE LET US KNOW IF THERE ARE ANY SPECIAL DIETARY NEEDS*
□
Dates of Stay
Guest Name (s) – maximum of four per room:
Please check each day you are staying overnight:
1. __________________________________
□
Wed February 17, 2016
(One Night Stay/2 meals)
Single-$171.25
Double-$115.15(per person 2 in room)
Triple- $96.45 (per person 3 in room)
Quad - $87.10 (per person 4 in room)
2. __________________________________
3. __________________________________
4. __________________________________
□
Thu February 18, 2016
(Two Night Stay/3 meals)
Single - $299.35
Double - $187.35 (per person 2 in room)
Triple - $149.95 (per person 3 in room)
Quad - $131.25 (per person 4 in room)
Room Type Request
Please check on of the following:
(1) King Bed
□
(2) Double Beds
* PLEASE LET US KNOW IF THERE ARE ANY SPECIAL DIETARY NEEDS*
□
Dates of Stay
Please check each day you are staying overnight:
□
Wed February 17, 2016
(One Night Stay/2 meals)
Single-$171.25
Double-$115.15(per person 2 in room)
Triple- $96.45 (per person 3 in room)
Quad - $87.10 (per person 4 in room)
Guest Name (s) – maximum of four per room:
1. __________________________________
2. __________________________________
3. __________________________________
4. __________________________________
□
Thu February 18, 2016
(Two Night Stay/3 meals)
Single - $299.35
Double - $187.35 (per person 2 in room)
Triple - $149.95 (per person 3 in room)
Quad - $131.25 (per person 4 in room)
Room Type Request
Please check on of the following:
(1) King Bed
□
(2) Double Beds
* PLEASE LET US KNOW IF THERE ARE ANY SPECIAL DIETARY NEEDS*
□
Dates of Stay
Please check each day you are staying overnight:
□
Wed February 17, 2016
(One Night Stay/2 meals)
Single-$171.25
Double-$115.15(per person 2 in room)
Triple- $96.45 (per person 3 in room)
Quad - $87.10 (per person 4 in room)
Guest Name (s) – maximum of four per room:
1. __________________________________
2. __________________________________
3. __________________________________
4. __________________________________
□
Thu February 18, 2016
(Two Night Stay/3 meals)
Single - $299.35
Double - $187.35 (per person 2 in room)
Triple - $149.95 (per person 3 in room)
Quad - $131.25 (per person 4 in room)
Room Type Request
Please check on of the following:
(1) King Bed
□
(2) Double Beds
* PLEASE LET US KNOW IF THERE ARE ANY SPECIAL DIETARY NEEDS*
□
Dates of Stay
Please check each day you are staying overnight:
□
Wed February 17, 2016
(One Night Stay/2 meals)
Single-$171.25
Double-$115.15(per person 2 in room)
Triple- $96.45 (per person 3 in room)
Quad - $87.10 (per person 4 in room)
Guest Name (s) – maximum of four per room:
1. __________________________________
2. __________________________________
3. __________________________________
4. __________________________________
□
Thu February 18, 2016
(Two Night Stay/3 meals)
Single - $299.35
Double - $187.35 (per person 2 in room)
Triple - $149.95 (per person 3 in room)
Quad - $131.25 (per person 4 in room)
Room Type Request
Please check on of the following:
(1) King Bed
□
(2) Double Beds
* PLEASE LET US KNOW IF THERE ARE ANY SPECIAL DIETARY NEEDS*
□