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The La Mer Beachfront Inn Welcomes the

Chase Cutter Inc. ~ 12th United States Coast Guard Reunion


Reservation Form: Please complete one form that includes all guests being housed in your room (up to 3 guests.) Please
note that each guest in this room must reserve for the same package; package options are available for 2- Night Stay
minimum . Guests may extend their stay, based on hotel availability at the time of request.
PLEASE NOTE - To guarantee package prices please submit reservation information on/before August 1, 2015

Number of Guests in Room: _____


Guest # 1:
First Name: ______________________________________ Last Name: ____________________________________________
Street Address:___________ _______________________________________________________________________________
City:_______________________________________ State:________________________ Zip Code: ___________
Email Address: __________________________________________________________________________________________
Phone Number: __________________________________________________________________________________________

Payment Information:
Name On Card: ___________________________________________________________________________________________
Credit Card Type (

): Visa _____

Mastercard _____

American Express _____

Discover_____

Credit Card Number: ___________________________________________________________________


Card Expiration Date (MM/YY) : ___________________________________
I authorize the La Mer Beachfront Inn, to charge my credit card for the choices noted below:
______________________________________________________________________________
Signature

______________________
Date

________________________________________________________________
Printed Name

Guest # 2:
First Name: ______________________________________ Last Name: ____________________________________________
Street Address:___________ _______________________________________________________________________________
City:_______________________________________ State:________________________ Zip Code: ___________
Email Address: __________________________________________________________________________________________
Phone Number: __________________________________________________________________________________________

Guest # 2 continued:
Payment Information:
Name On Card: ___________________________________________________________________________________________
Credit Card Type (

): Visa _____

Mastercard _____

American Express _____

Discover_____

Credit Card Number: ___________________________________________________________________


Card Expiration Date (MM/YY) : ___________________________________
I authorize the La Mer Beachfront Inn, to charge my credit card for the choices noted below:
______________________________________________________________________________
Signature

______________________
Date

________________________________________________________________
Printed Name

Guest # 3:
First Name: ______________________________________ Last Name: ____________________________________________
Street Address:___________ _______________________________________________________________________________
City:_______________________________________ State:________________________ Zip Code: ___________
Email Address: __________________________________________________________________________________________
Phone Number: __________________________________________________________________________________________

Payment Information:
Name On Card: ___________________________________________________________________________________________
Credit Card Type (

): Visa _____

Mastercard _____

American Express _____

Discover_____

Credit Card Number: ___________________________________________________________________


Card Expiration Date (MM/YY) : ___________________________________
I authorize the La Mer Beachfront Inn, to charge my credit card for the choices noted below:
______________________________________________________________________________
Signature

______________________
Date

________________________________________________________________
Printed Name

Reservation Information:
Please provide your bedding preference* ( ):
_____ 2 Queen Beds
_____ 1 King Bed
*Please note that with Run-of-House accommodations room views are not guaranteed. Bedding is not guaranteed. The
La Mer will make every effort to accommodate all bedding preferences.

Guests wishing to extend their stay:


Please note Extending your stay will be based upon hotel availability at the time of reservations. Space is not guaranteed.

Extend my stay ( ):
____ Thursday, 9/24/15 additional cost is $299.00, plus taxes, based on 2 adult occupants
____

Sunday, 9/27/15 additional cost is $299.00, plus taxes, based on 2 adult occupants

Package Information:
2-Night Stay Package includes:

2 Nights Run-of-House (ROH) Hotel Accommodations (Friday & Saturday)


Hospitality & Welcome Reception (cash bar)
Saturday Night Cocktail Hour & Hors Doeuvres (cash bar)
Saturday Night Three-Course Dinner (cash bar)
All Hotel, Housekeeping, Food, Beverage, Fees, Gratuities & Taxes

To choose the above package, please check ( ) the applicable line below:

Fri, 9/25 - Sun, 9/27/15 ( ):


____ $744.00, Single Occupancy
____ $421.00, per person, Double Occupancy
____ $341.00, per person, Triple Occupancy

Please submit completed form to:


Fax to:

609.884.5004

Email to:

Sales@capemaylamer.com

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