North Carolina State University
Reservation Request Form
Visitors, official guests, staff and faculty that are seeking access to negotiated rates should use this form. Where applicable, University 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: *
Type of Traveler:
NCSU Department (if applicable)
Purpose of Travel:
Traveler Contact Information:  
   Contact E-mail: *
   Contact Telephone: *
   Contact Fax:
Authorized Travelers *  
   Authorized Traveler 1:
   Authorized Traveler 2:
   Authorized Traveler 3:
   Authorized Traveler 4:
Preferred Hotel: Please select a valid item. Please select an item.
Restate Preferred Hotel:
(for purposes of emailing)		 Please select a valid item. Please select an item.
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 paid by University funds:

  

     Yes No Checking yes indicates that NCSU is paying except

  

for the incidentals.

  
Form of Payment:
University Sponsor Information  
This section is to be completed only when the accommodations
are being paid for by North Carolina State University!		  
North Carolina State University will not accept responsibility for payment of any reservation that has not been approved by the sponsoring department prior to stay.  
Sponsoring Department:
Department Contact Name:
Department Contact Email:
Department Contact Phone:
Department Contact Fax:
Comments:
Special Requests:

Please insert the same letters and numbers you see in this image into the box to your right. This is case-sensitive.
Cap: