OLD DOMINION CUP

Hotel Request Form

Select your first 2 choices of hotels. Complete the reservation form below and forward to us.

We will send you a written confirmation to sign, along with a rooming list form to complete. Include credit card numbers to guarantee the rooms. You will need to send back the signed confirmation and the rooming list by the date requested.

If you have any questions, please contact Susan Smih via E-mail at SETSM , or you may call her at (757) 639-6859.

* TOURNAMENT NAME

* TEAM NAME

* AGE

* GENDER

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* CELL PHONE NUMBER

* DAYTIME PHONE NUMBER

* Email Address

* 1ST CHOICE

* 2ND CHOICE

* # OF ROOM NIGHTS: 12-04-09

* # OF ROOM NIGHTS: 12-05-09

ADDITIONAL COMMENTS

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* Indicates Response Required