REQUIRED INFORMATION IS NOTED BY A
This request is for: Additional Information Reservation 
LOCATION REQUESTED
Please Select a Requested City:  
Any further comments regarding location of requested accommodations?
APPROXIMATE DATES OF STAY
Move-in date: Move-out date:
Please indicate "unknown" if not known.
YOUR CONTACT INFORMATION
Your Name (Person Submitting Request):
First      Middle      Last  
Your Telephone Information:  
(Insert country code and country name, if outside U.S.) 
Country Code Country
Home Number Work Number
Cellular/Mobile Number: Fax Number:
Best number to call: Work  Home  Cellular
Your E-Mail Address:
Your Company/Organization (If applicable):
 
YOUR MAILING ADDRESS:
Street Address or P.O. Box:
City: State:
Non-U.S. State/Province:
Country:
Country: Zip or Mail Code:
TYPE OF RESIDENCE NEEDED:
Please select one of the following boxes.
Studio (queen size murphy bed) (Note: not available in some areas)
One bedroom
2 bedrooms
3 bedrooms - in some locations by request
PETS? -- Number of Cats -- Number of Dogs
Other - Describe
HANDICAPPED ACCESS NEEDS? Please explain in comments box below.
PAYMENT METHOD


Visa MasterCard American Express Discover Diners
Other method: Electronic Transfer Company Check
TO FURTHER ASSIST YOU
The following information will help us suggest US Suites accommodations and services that will best meet your needs.
These accommodations are needed for:
Extended stay project Relocation Vacation Temporary Home Other*
*If you checked "Other," please comment here.:

COMMENTS * QUESTIONS -- PLEASE LET US KNOW