Requested by

Email

Phone

Name of Guest

Number of Nights

Date of Arrival

Date of Departure

Index Code

Select a Hotel

*If hotel is not listed, please specify your preference in Special instructions or Needs field

Hotel Rates

Hotel	Rate
Aloft Birmingham - Homewood	$139.00
Courtyard by Marriott - Homewood	$119.00
Drury Inn and Suites - Wildwood	$107.00
Elyton Hotel	$245.00
Fairfield Inn & Suites	$110.00
Hilton Garden Inn - Lakeshore	$119.00
Holiday Inn - Homewood	$104.00
Home2 Suites Birmingham Colonnade	$109.00
Residence Inn Marriott - Homewood	$109.00

Type of Room

Double King Size

Smoking Preference

Non-smoking Smoking

Charges to be Paid

Room and Tax Only All Charges

Special Instructions or Needs

All fields except Special Instructions or Needs are required.