CABE Travel and Lodging Request

Name of Participant

Please print as it appears on your government issued ID (this is how it will appear on the ticket)

First Name *

Last Name *

Email *

Cell phone # *

Name of the event you are attending

Travel Information (if applicable)

I need a flight reservation 🛈

Yes

I am driving my car

Yes

Date of Birth (required for reservation)

Origin airport

Departure date

Approximate Departure time

Flight return date

Approximate Return time

Comments

Hotel Information (if applicable)

I will need a hotel room

Yes

Check-in date

Check out date

Room Type

Single

Double occupancy (1 bed)

Double/Double (2 beds)

Please indicate special requests (i.e. ADA)

Additional Night(s) Request

Additional room night(s) are subject to availability.

Check-in date

Check out date

Room Type

Single

Double occupancy (1 bed)

Double/Double (2 beds)

Please provide credit card information for additional night(s) request.

Cardholder's First and Last Name

Credit card number

Expiration date

CVC

Billing Address

City, State

Zip

COMMENTS OR QUESTIONS

CANCELLATION POLICY: Please notify CABE and the hotel if you are cancelling your reservation at least 72 hours prior to arrival to avoid "no show", or "cancellation" fees. Important note: If the you do not arrive on the first night ("no show") and no notification is given, subsequent night(s) will be cancelled. If you have any questions or need more information, contact Aida Madison at aida@gocabe.org or at 626-814-4441 ex. 101.