CRES Agent Form

*First Name

*Last Name

*Email

Phone Number

Reason For Stay -- Please Select --Family VacationCouples GetawayWeddingLocal EventRomantic EscapeCelebrationCollege VisitHospital VisitConventionBusiness MeetingVisiting FamilyGeneric

Arrival Date ...

Departure Date ...

*Property Requested -- Please Select --Pacific TerraceHumphreys Half Moon InnDays Inn San Diego Hotel Circle Near SeaworldThe Dana on Mission BayBest Western Plus Island Palms Hotel & MarinaHoliday Inn San Diego Bayside

*Agent Code -- Please Select --AJAAEBBWCLRRETIDDJMRKJOMMIMSRSMWWSSP

Is it OK if we follow-up with you regarding this stay? Yes No

Would you like to receive special offers via email in the future? Yes No