CABE Travel and Hotel Request

Name of Participant

Please print as it appears on your government issued ID and as you would like it to appear on your ticket.

First Name *

Last Name *

Email *

Date of Birth (must be provided for airline reservations) 🛈

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

Departure airport

Departure date

Approximate Departure Time

Arrival/Destination airport

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 (1 bed)

Double occupancy (1 bed)

Double occupancy (2 beds)

Please indicate special requests. (i.e. ADA) or comments

If additional nights are requested, provide credit card information below.

Cardholder's First and Last Name

Credit card number

Expiration date

CVC

Hotel accommodations must have prior approval before making reservations. CABE will reimburse room rate and tax. All incidentals will be the guest’s responsibility.

CANCELATION POLICY: Please review the hotel cancelation policy carefully. Please notify CABE of any cancelation, or changes in arrival and departure dates to avoid fees. Please contact Aida Madison at aida@gocabe.orgfor more information or call 626-814-4441 ex. 101