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Reservation/Information Request Form

Please provide the following information.
Your request will generate a return call. *For each city please fill
out an additional reservation request for*

Please select the Small & Elegant Hotels/Apartments which
you'd like more information about or reservations for.

City Choice:	required.gif (842 bytes) 
First Hotel Choice:  required.gif (842 bytes)

Second Hotel Choice: required.gif (842 bytes)

Third Hotel Choice:  required.gif (842 bytes)

Agent Name:        
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Client Name:	   required.gif (842 bytes)
Client Address:    
City:              
State/Province:    
Postal code:       
Country:           
Daytime phone:     required.gif (842 bytes)
Evening phone:     required.gif (842 bytes)
Email address:     required.gif (842 bytes)
Fax number:        
Estimated arrival date (mm/DD/yy):   
Estimated departure date (mm/DD/yy): 
How many adults?   How many children? 
Preferred price range per night: 
Under $250  -or-  Over $250
Other comments:
Payment Type:    
Credit Card #:   
Expiration Date: 
Security Code:	 

(required.gif (842 bytes) denotes items which must be completed)


You can also reach us at

Small & Elegant Hotels International
801 Monroe Ave. NW, Suite 104
Grand Rapids, Michigan 49503
Phone: (616) 844-6000 or 800-553-2582
Fax: (616) 844-6042