Lowest Rate Guarantee Claim Form

Lowest Rate Guarantee Claim Form

Please provide information about the lower rate found for the hotel used for your CheckINN Direct stay. A qualifying lower rate must befor the same hotel, dates of travel, number of guests, standard room and currency type. If your qualifying lower rate claim is for a lower rate provided directly by a network hotel, CLC will contact the hotel to confirm the lower rate offered. CheckINN Direct reserves the rightto deny any claims that cannot be verified, or for which a member has provided incomplete information. Your claim will be reviewed withintwo business days. Note: CLC Lodging privately negotiated ratesfrom other CLC lodging contracts/programs do not apply.

Return form and documentation within 7 days before your CheckINN Direct stay or up to 7 days after CheckINN Direct invoices you for your stay.

E-Mail:

Fax:316.771.7882

Mail:CLC Lodging,c/o CheckINN Direct, 8111 East 32nd St. North, Suite 300, Wichita, KS 67226-2614

Please Note: Fields marked with a * are required. Restrictions apply; please see Terms & Conditions.

Member Information

Company Name*:
First & Last Name*:
E-mail Address*:
Confirm E-mail Address*:
Telephone*:

Claim Details

Hotel Name*:
Hotel Address (Street, City, State, Zip)*:
Total Number of Claims*:
Cardholder Claims: / 1. First & Last Name / 2. First & Last Name / 3. First & Last Name
CheckINN Card ID#:
Check-In Date:
Check-Out Date:
Room Type (Standard, King, Queen, Double, Other):
Number of Guests:
CheckINN Direct Member Rate ($):
Lower Hotel Rate ($):
Source of Lower Rate*:
Web Site (specify URL and provide printout/screen shot or reservation confirmation of lower rate):
Hotel Verbal (specify name of front desk personnel providing lower rate):
Hotel Advertising (specify marquee, front desk special, banner, coupon, e-mail, billboard, direct mail or print ad and provide date-stamped photo or printout/copy of lower rate asapplicable):
Coupon Book (specify name of coupon book and provide printout/copy of lower rate):
Membership Program (specify program name and provide printout, screenshot or reservation confirmation of rate):
Other (specify source and provide printout/copy of rate):
Comments(provide additional information to help verify rate):
I understand all claims submitted are subject to the Lowest Rate Guarantee Terms and Conditions: /  Yes

March 2012