The Millennium Philcon Hotel Reservation Form

Please complete the information below legibly. Be sure to fill out the entire form.

Primary Guest  __________________________________________________

Address        __________________________________________________

City     _________________________   State/Province     _________

Country  _________________________   ZIP/Postal Code    _________

Telephone (Day)  ___________________  Fax Number  _______________

Email  __________________________________________________________

Mark your choice below. Rates are per night and do not include tax (14%).

[ ] Philadelphia Marriott (#1 on map)
  [ ]One guest [$135] [ ]Two guests (one bed) [$145]
  [ ]Two guests (2 beds) [$145] [ ]3 or 4 guests [$160]
[ ] Wyndham Franklin Plaza (#2 on map)
  [ ]One guest [$99] [ ]Two guests (one bed) [$109]
  [ ]Two guests (2 beds) [$109] [ ]3 guests [$119] [ ]4 guests [$129]
[ ] Courtyard by Marriott (#3 on map)
  [ ]One guest [$125] [ ]Two guests (one bed) [$135]
  [ ]Two guests (2 beds) [$135] [ ]3 or 4 guests [$145]
[ ] Hawthorn Suites (#4 on map)
  [ ]One guest [$124] [ ]Two guests (one bed) [$124]
  [ ]Two guests (2 beds) [$124] [ ]3 or 4 guests [$124]
[ ] Hilton Garden Inn (#5 on map)
  [ ]One guest [$124] [ ]Two guests (one bed) [$124]
  [ ]Two guests (2 beds) [$124] [ ]3 or 4 guests [$124] [ ]Junior Suite [$134]
[ ] Clarion Suites (#6 on map)
  [ ]One guest [$122] [ ]Two guests (one bed) [$129]
  [ ]Two guests (2 beds) [$129] [ ]3 or 4 guests [$129]
[ ] Loews Philadelphia Hotel (#7 on map)
  [ ]One guest [$135] [ ]Two guests (one bed) [$145]
  [ ]Two guests (2 beds) [$145] [ ]3 or 4 guests [$160]
[ ] Hampton Inn (#8 on map)
  [ ]One guest [$119] [ ]Two guests (one bed) [$129]
  [ ]Two guests (2 beds) [$129] [ ]3 or 4 guests [$129]

Special Requests:
(Check all that apply)
[ ]Non-smoking [ ]Quiet floor [ ]Party floor
[ ]Handicapped
(Describe condition below)
[ ]Low Floor [ ]Rollaway [ ]Crib
[ ]Other _________________________________________
All requests are subject to availability and cannot be guaranteed.


Arrival Date  _________________  Departure Date  ________________

Names of persons sharing room: __________________________________
(Include names and ages of
any children.)                 __________________________________

                               __________________________________

                               __________________________________

Frequent Guest Program No.     ____________________________

Guarantee reservation with:

[ ] Diners Club [ ] American Express [ ] Visa [ ] MasterCard [ ] Discover

Cardholder's name      __________________________________________

Cardholder's signature __________________________________________

Card number  ________________________________________

Expiration Date _____/______