Date Type of Estimated Confirm Confirm Confirm Sleeping Number of number of room daily Room Sleeping rooms able rate (w/o individual Rooms to provide taxes & room rate surcharges) w/ surcharges and/or tax (only add tax if your county/city doesn’t accept the occupancy tax waiver) Date 1 2 Occupancy Date 2 61 Date 3 61 Date 4 Check-out Check out 124 Are Sleeping rooms compliant with American Disabilities Act (ADA)? Yes No Propose the cut-off date for reservations (3 weeks): __________________ Check either or beside each of the items listed below. If applicable, propose the “yes” “no” rate(s) for tax and/or surcharge below: Dollar Item Type Yes No Amount Number a. Hotel/motel transient occupancy tax waiver (exemption certificate for state agencies) b. Tax rate: $ c. Tourism Surcharge: $ d. Other Surcharge add name $ here________: Propose Parking schedule, number of parking passes, discounted passes and parking rate inclusive of any service charges, gratuity, and/or sales tax. Enter for any items that are “n/a” not applicable.
Date Type of Sleeping Room Estimated Number of Sleeping Rooms Confirm number of rooms able to provide Confirm room rate (w/o taxes & surcharges) Confirm daily individual room rate w/ surcharges and/or tax (only add tax if your county/city doesn’t accept the occupancy tax waiver) Date 1 2 Date 2 61 Date 3 61 Date 4 Check-out Check out 124 Are Sleeping rooms compliant with American Disabilities Act (ADA)? Yes No Propose the cut-off date for reservations (3 weeks): __________________ Check either “yes” or “no” beside each of the items listed below. If applicable, propose the rate(s) for tax and/or surcharge below: Item Number Type Yes No Dollar Amount a. Hotel/motel transient occupancy tax waiver (exemption certificate for state agencies) b. Occupancy Tax rate: $ c. Tourism Surcharge: $ d. Other Surcharge add name here________: $ Propose Parking schedule, number of parking passes, discounted passes and parking rate inclusive of any service charges, gratuity, and/or sales tax. Enter “n/a” for any items that are not applicable.