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Second Time Arounders Housing List
- Guest Name: _______________________________________________
- Street Address: _______________________________________________
- City, St Zip: _______________________________________________
- Number of Guest: _____ If room is shared please list all names below:
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
- Check In Date: ____________ Check Out Date: _____________
6. One King or Two Double Beds (Please Circle Selection)
7. Rollaway required? ($15.00 additional fee per night and can only be added to a king room)
8. Credit Card: Exp:
- How would you like to receive your confirmation?
- eMail - Provide eMail Address: ____________________
- Fax - Provide Fax Number: ________
- Standard Mail - Will be mailed to the address above
All information must be completed. A confirmation will be sent when the form is received and a formal confirmation will be sent to you in December 2007
Please send all requests to Leslie Culver
Phone: (973) 504-6718
Fax : (973) 504-6199,
Email: leslie.a.culver@marriott.com,
Standard Mail:
Marriott
Attn: Sales
Newark Liberty International Airport Marriott
Newark NJ 07114.
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