Newark Airport Hotels
Reservation Request
Official university staff, faculty and students that are seeking access to special 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. 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: *
University/College: *
   Department:
Type of Traveler: *
Purpose of Travel: *
   Event:
Traveler Contact Information: *  
   Contact Name: *
   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 paid by University/College funds: *

  

     Yes No Checking yes indicates that a University/College

  

is paying except for the incidentals.

  
Form of Payment: *
(Do not submit credit card information. You will be asked for that
information upon confirmation of reservation by the hotel.)
Purchase Order/Accounting Information (if required):
University Sponsor Information  
This section is to be completed only when the accommodations
are being paid for by a University/College!		  
Most universities/colleges 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 send comments, questions and/or suggestions to:    larry@campustravel.com

 

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