Caller
First Name:
Last Name:
Phone Number:
Email Address:
Department Name:
4 Digit Department #:
UNC FRS Ten-Digit AccountRoom & Tax :
UNC FRS Ten-Digit AccountAlcohol :
UNC FRS Ten-digit AccountAll other non-alcohol charges :
Comments:
Please Choose One of The Following Boxes; Fields Will Expand.
Complete this form after making reservations. Reservation Number:
Full Name:
Arrival Date:
Departure Date:
Crossroads Restaurant & Bar
Dining only. Does Not Include Overnight Lodging. Full Name:
Date of Reservation:
Time of Reservation:
Breakfast
Lunch
Dinner
Name of Person Who
Terms and Conditions: This form must be sent 24 hours prior to any confirmed reservation. Receipt of this signed agreement confirms the room and tax charges as well as any indicated incidental charges to be direct billed to your department. If for any reason you need to cancel this reservation, you must do so by 3pm the day prior to arrival to avoid charges to your department. If the confirmed reservation is not cancelled by 3pm the day prior to arrival and the guest fails to check-in, you will be charged with a no-show penalty equal to one nights room rate. Failure to provide billing information via this form by email will result in your guest being approached for payment upon check-in.
