Reservation Request Form
To request a reservation, please complete this form, print it, and fax it to 312.945.2021. Based on availability, your reservation will be confirmed via telephone or email within one business day of receipt of this form.
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Reservation Request Form To request a reservation, please complete this form, print it, and fax it to 312.945.2021. Based on availability, your reservation will be confirmed via telephone or email within one business day of receipt of this form. |
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| Contact
Name: |
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| Company: |
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| Street
Address: |
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| Address
(cont'd:) |
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| City: |
State: Zip: |
| Country: |
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| Phone: |
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| Fax: |
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| E-mail: |
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| Arrival Date: | Number
of Nights: |
Room
Pref: |
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| Departure Date: | Number
of Guests |
2nd
Room Pref: |
| I
agree to be personally liable in the event that the indicated
person(s), company, or association fail to pay any part or the full
amount of charges incurred. My signature is authorization for The
Wheeler Mansion to use the credit card number listed below for deposits
and payment of those charges. A 50% deposit is required with the
reservation. Cancellations or a no-show will be charged: 25% of the
total room charge 3-6 months prior to check-in, 50% of the total room
charge 1-3 months prior to check-in, and 100% of the total room charge
0-1 month prior to check-in |
| Credit Card Information: |
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| American
Express |
Visa | Mastercard | Discover Card |
Diners Club |
| Card
Number: |
Expiration
Date: |
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| Name
on Card: |
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| Signature: |
____________________________________ |
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The Wheeler Mansion
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| 2020
South Calumet Avenue Chicago, Illinois 60616 |
Phone:
312.945.2020 Fax: 312.945.2021 |