501 E. Hill Avenue, Knoxville, Tennessee 37915/ (865) 637-1234 phone

CLOGGING CHAMPIONS OF AMERICA Reservation Form

Thursday January 21, 2016 – Sunday, January 24, 2016

Thank you for choosing the Knoxville Marriott for your Clogging Champions of America event weekend.

Below is the information we will need to secure your reservation. Please fill out the form and send it back to our hotel.

Arrival Date: ______Departure Date: ______

Name: ______# of People______

Address: ______

______

Phone: ______

Email: ______

Credit Card: ______Exp: ______

Marriott Rewards # (if applicable): ______

All forms must be received by Friday, JANUARY 1, 2016. Reservations made after this time are not guaranteed group rate or availability. Fax this form to 865 594-4348 or Email this form to

In order for us to prepare our hotel for your entire stay, and deliver the exceptional service you deserve as our guests, we request that you read and initial the following terms and conditions.

Your discounted rate has been established, based on bed types

Once this reservation form is received by our hotel, changes will be permitted up to 2 weeks prior to the event, via the sales office. Our front desk will not be able to alter your reservation at any time.

Please Select One Room Type REQUEST Below:

$111.00 king bedded room per night

$111.00 room with two beds per night

Special Requests: ______

**Please Note: We will do our best to accommodate all requests however we can NOT guarantee any requests**

Limited availability: All double bed reservations will be made on a first come, first serve basis, based on the date the reservation form is received by our Sales office. Once the limited quantity of doubles has been filled, you will be assigned a king bed with rollaway bed. This will be reflected on your confirmation letter that will be emailed to you within 72 hours of receipt of reservation form.

Please note: Rollaways are not permitted in rooms with two double beds.

Signature: ______Date: ______