Please fill out the following Order Information. After submitting the information below, you will be taken to the payment options pages which offers secure credit card transactions (or you can simply mail a money order or check).

Name:
Address:
City:
State/Province:
Country:
Zip:

Arrival Date:
Departure Date:
Number_In_Party:
Business Affiliation:
E-mail Address:
Phone:
Fax:

Special Requests
Smoke-Free Room
Rollaway
Crib
Adjoining Rooms
Refrigerator
First Floor 		Business Class Upgrade
Accessible Blind
Accessible Deaf
Accessible Wheelchair
Newspaper Delivery
Check if Attending a Conference

Airport Shuttle Pick Up Request
Date:   Time:   Number in Party:
Airline:   Flight Number:

Comments or Information Request:


Our helpful Reservation Agents can forward your confirmation or requested information via:
E-mail   Mail   Fax

2402 N. Forest Road • P.O. Box 823 • Amherst, New York 14226-0823
(716) 636-7500 • Fax (716) 636-8296
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