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Billing Contact Information
Guest First Name
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Guest Last Name
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Guest Email
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Number of Guests
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Arrival Date
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Departure Date
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Authorized Charges to be Billed
Guestroom Only
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Yes
No
Guestroom & Breakfast
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Yes
No
Incidentals: Includes before deposit, tips, food & beverage, room service, gift shop and damages
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Yes
No
All Charges: Includes room & tax, deposit, tips, food & beverage charges, room service, gift shop & damages
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Yes
No
Include Alcohol
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Yes
No
HST Exempt: If billed to Western
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Yes
No
MAT Exempt
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Yes
No
Billing Information
First Name
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Last Name
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E-mail
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Telephone
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PO Number
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