Goucher College
Reservation Request Form

Visitors, official guests, staff and faculty that are seeking access to negotiated rates should use this form. Where applicable, College ID,
credit card or authorizing PO may be required at check-in.

Please note this is a request form only, not a confirmation. If space is available, you should receive a notification from the hotel
within 24 hours. If you don’t, or if you need to cancel or amend this reservation, please contact the hotel directly.

Required data is indicated by *  
Nature of Booking: *
Goucher Connection:
Purpose of Travel:
Purchase Requested by: *
   Contact E-mail: *
   Contact Telephone: *
   Contact Fax:
Authorized Travelers *  
   Authorized Traveler 1:
   Authorized Traveler 2:
   Authorized Traveler 3:
   Authorized Traveler 4:
Preferred Hotel:
Restate Preferred Hotel: *
(for purposes of emailing)
Traveler Information  
   Arrival Date: *
   Departure Date: *
   Length of Stay - Number of Nights:
   Number of Rooms:
   # of People per Room:
   Nightly Rate:
   Estimated Total:
   Smoking/Non Smoking:
   Requested Confirmation Status:
   Room Type:
Hotel Services: When paid for by Goucher, standard policy is the following:  
   Yes No Room Nights paid by Goucher  
   Yes No Sales Tax waived - For College Paid Bookings Only  
   Yes No Incidentals paid by traveler  
Form of Payment:
Comments:
Special Requests:
Please send comments, questions and/or suggestions to:    larry@campustravel.com