AC Toll Free

Last Name:
First Name:
Street Address:
Apt./Unit/Flr.
City:
State:
Zip Code:
Phone Number:
Fax Number:
E-Mail Address:

Type of Credit Card:
Credit Card Number:
Expiration Date:
Name On Card:
Billing Address (if different from above) :
Hotel/Casino For Reservation:
Date of Arrival:
Date of Departure:
Number of People:
Number of Rooms:
How Did You Hear About Us:
Please feel free to submit any special requests in the space below.
	* Special Requests are not guaranteed, however every effort will be made to satisfy your requests.

By submitting your information, you authorize AC. Toll Free Reservations Service inc. and/or it's agent to charge your credit card for the amount listed. You will receive a confirmation via e-mail within 24 hours. You also agree to a $25 Cancellation fee per room applies from the time the reservation is made up until 48 hours prior to your scheduled arrival date. TERMS AND CONDITIONS* All rates plus 13% room tax. TOURISM FEE ($4 - $5 PER NIGHT) Triple, Quad Occupancy plus $20 per person, per night. $25 Cancellation fee per room applies from the time the reservation is made up until 48 hours prior to your scheduled arrival date. Cancellations made less than 48 hours prior to your scheduled arrival date may be charged the first night's room and tax. "No Shows" will be charged for the entire amount of the reservation. All cancellations must be made directly through our service either via telephone or by e-mail. Upon cancellation, you will receive a special coded cancellation # as proof of your cancellation. Rates Subject To Change and Availability