| The only way to submit a Claim is to complete the following on-line form and click on the "Submit Information" button below. All blanks must be completed, with accurate and verifiable information, in order for the claim to be processed. Any inaccurate data will invalidate the claim. | |||||||||||||||||||||||||
| Note: All fields are required. | ||
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| Lowest unaffiliated website hotel rate: | ||
| Complete unaffiliated website address where lower rate was found: | ||
| Your email address: | ||
| Your daytime phone number: | ||
| Your evening phone number: | ||
| Your name: | ||
