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NAME on Reservation:________________________________________

Roommate’s Name, if Sharing a Room:_____________________________________

(Please make only one reservation per room, if you are sharing a room, and sharing

the cost. We will be more than happy to separate the room charges at check in.)

ADDRESS:____________________________________________________________

___________________________________________________________

PHONE:___________________________________________________ ___________

ARRIVAL DATE: __________________DEPARTURE DATE:____________________

Circle Method of payment: MasterCard VISA American Express

Credit Card Number: _______________________________________

Expiration Date: Month: _____________ Year: _________________

Name On Card: _________________________________________________________

Rates are $119.00 per room for single/double occupancy. $ 10.00 each additional person. Roll-a-ways $10.00

(Room type is available on first come, first served basis) Reservations received after June 27, are subject to space available and not necessarily at Group Rate.

Please Check Room

Type Requested: __2 Dbl Beds or__King Bed ___Smoking or Non Smoking______

Beachview Lanai: _______ or ______ ______ or ______

Gulfview Tower: _______ or ______ ______ or ______

Please Note any Special Needs:____________________________________________________________

____________________________________________________________________________

EITHER EMAIL, FAX OR MAIL THIS FORM BACK TO:

HSUNSPR1@Tampabay.rr.com

FAX 727- 446-4978

Holiday Inn SunSpree Resort and Conference Center

715 So. Gulfview Boulevard

Clearwater Beach, Florida 33767

727-447-9566

If you would like your confirmation email back to you, please add email address.

Email address: _______________________________________________________

If you would like your confirmation Faxed back to you, please add your fax number.

Fax number:__________________________________________________________