Reservation Request

Information for all fields is required

By completing this form you acknowledge and agree that at the time the reservation is confirmed you authorize OBM to debit your OBM and Auto Pay account, the reservations are non-cancellable or changeable, and the Broker Fee for all travel is 15%. OrangeBee@OrangeBee.com

Disclaimer of Warranty and Liability :

OBM makes no representation or warranty, either expressed or implied, and disclaims all liability as to the fitness, quality, delivery date, merchantability, prices or any term of any transaction. Account does hereby indemnify and hold OBM harmless with respect to any claim, debt, or liability whatsoever, arising out of any transaction wherein Account is buyer or seller. Account acknowledges that any transaction, which they participates, shall be on a voluntary basis, and that OBM is neither its' agent nor the agent of any other Account.

OBM Reservation Request

OBM Account Company Name:

OBM Account Number:

Date:

Destination City & State:

More Details:

Name for Reservation:

Address/City/State/Zip:

Phone Number:

Fax Number:

Number Of People In Party:

Adults:

Children:

Date Arrival:

Date Departure:

Number Of Nights:

Number Of Rooms:

Bed Configuration:

Smoking:

Special Request:

Credit Card Type:

Credit Card Number:

Credit Card 3 Digit Security Code:

Credit Card Expiration Date:

Name Credit Card Issued To:

Address Credit Card Mailed To:

System Name Making Request:

Contact Person:

Phone Number:

Fax Number:

E-Mail Address:

Web Address: