Lodging Request Form Grand Canyon Association Members Weekend ● May 15 – May 17, 2015 Please complete lodging request form as follows (print legibly) Name: Email: Address: Arrival Date: Departure Date: Number of Nights: Number of People: Fax: Telephone: Accompanying Guests 1.) 2.) Please indicate at least 2 choices of lodging in order of preference For lodging descriptions: www.grandcanyonlodges.com Maswik North Maswik South $176.40 $91.80 Special Requests (King, 2 Queens, Accessible, Ground Floor, etc.) Rates are subject to 6.9% Tax. Reservations are taken on a first come first served basis. Room rates based on double occupancy. Surcharge for each additional guest above double occupancy. All rates are subject to change, without notice. All rates listed excluding tax. Please mail or fax this form by April 15, 2015 Mail: Xanterra South Rim, LLC Fax: 928-638-9810 Attn: Angelo Partemi 1201 West Route 66 #200 Flagstaff, AZ 86001 ●Reservations will be made by this form only. ● Cancellations must be received in writing 48 hours prior to arrival for a full refund. ●Deadline for reservations is April 15, 2015. ●Check-in time 4:00 PM. Check-out time 11:00 AM. ●Confirmation will be sent via email with-in 72 hours of receiving request. ●All rooms are non-smoking Payment Procedures A deposit in the amount of one night’s lodging, plus tax, is required to hold your reservation. Payments accepted by Visa, MasterCard, Discover, Diner’s Club, and American Express. Checks should be made payable to Xanterra South Rim, LLC. Final payment is due upon check-in by cash, check, or major credit card. I authorize total room and tax for 1st night stay. OR Check enclosed: Signature: Credit Card Number: Questions: 928-638-2525 Expiration Date: ☐