Anna I. Young Alumnae House
Guest Room Reservation Form
*Charges will occur 72 hours prior to Check In*
-Please check for electronic invoice from Square Up-
Key # (office use only)__________
Complete form and send to alumhouse@agnesscott.edu
Name: _____________________________________________________________
E-mail address to send confirmation: _____________________________________
Cell: ________________________ Home Phone: _________________________
Check-in date: _________________Check-out date:___________________________
Check-in is after 3 p.m. and located at Public Safety.
Check-out is before 10 a.m. and leaving after 10 a.m. will incur a $50 penalty.
Rate per night: $90 for a room with one double or two twins (Rooms 1, 2 & 6)
$100 for a room with 2 doubles (Rooms 3 & 4) – rates do not include tax which is an additional 8%
How many people will be staying in the room?________
Do you need one double bed, two twins or 2 double beds? Check all that would work for you.
______ 1 Double _______ 2 Twins ________2 Doubles
Is anyone in your group under the age of 10? _______ (Children must be at least 10 to stay at the house.)
How many cars will you have with you? ______
Alumna – Class of ___________ Prospective Student/Family Trustee
College Guest
Parent (Student’s Name:_________________ Other:_________________________
Credit Card to Book a room*: ____ Visa ____ MasterCard ___ American Express
Card #: ________________________________________________ Exp. Date _______
CVV2 Code: ______________ (last three numbers in signature box on back of card or 4 on front of AMX)
Cardholder’s Name: ______________________________________________________
Billing Address: __________________________________________________________
___________________________________________________________
Any other special requests: __________________________________________________
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For Office Use Only:
Confirmation email sent on _________________________________________________
