crowne plazaspringfield

R e g i s t r a t i o n

New Year’s Eve Party 2017 Registration | Saturday, December 31st | 9pm-2am

Guest 1 Name ___________________________________________________________________________________________________Guest 2 Name ___________________________________________________________________________________________________Address ___________________________________________________________________________________________________

City _______________________________________________________ State ___________ Zip _________________

Phone ____________________________ Email ___________________________________________

PACKAGE SELECTION _____ Overnight Accommodations at Crowne Plaza

_____ $279 Per Couple

_____ $169 Single

_____ Overnight Accommodations at Holiday Inn Express

_____ $259 Per Couple

_____ $149 Single *All PackagesInclude Ticket Pricing for Non-Hotel Stay?Credit Card to Reserve __________________________________________________ Expiration ____________

Please note that the credit card placed on file at the time of booking will be charged in full on December 22, 2016 for the entire stay. If we are unable to process your payment, we will make one attempt to contact you for an alternate payment method before cancelling your reservation. After this date, we are unable to process any changes or cancellations.

HAPP

Y NEW YEAR