16th HEAD Meeting Hotel Reservation Form: Best Western Plus Kentwood Lodge

Please complete this form to request a room at the Best Western Plus Kentwood Lodge for the 16th HEAD meeting.

Reservations are based on hotel availability and are not guaranteed until a confirmation number is generated by the Best Western Plus Kentwood Lodge.

Reservations must be made by 18 May. Cancellations must be made 45 days prior to your stay to avoid additional fees.

If you are having difficulty making a reservation, or need to request changes or cancellation, please contact [email protected] for assistance.

Contact Information

Title

First Name

Middle Name

Last Name

Email Address

Phone Number

Hotel and Room Information

Arrival Date

Departure Date

Room Type

Number Of Adults

Number of Children

Special Accommodations

Additional Guests

Guest #2 Title

Guest #2 First Name

Guest #2 Last Name

Guest #3 Title

Guest #3 First Name

Guest #3 Last Name

Guest #4 Title

Guest #4 First Name

Guest #4 Last Name

Payment Information

Name On Card

Card Type

Credit Card Number

Credit Card Expiration

CVV2 Code (3 or 4 Digit Security Code)

Billing Street Address

Billing City, State

Billing Zip/Postal Code

Billing Country

Best Western Plus Kentwood Lodge Terms and Conditions

Comments and Notes

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16th HEAD Meeting Hotel Reservation Form: Best Western Plus Kentwood Lodge