Affinity Inn and Resorts ®
Affinity Inn and Resorts ®

Administration & Forms

Affinity Inns & Resorts


New Member Application - (Form #1 of 2)

 

Desired Brand - (Please check one Brand below) - Please copy this form and send via Fax as shown below.

 

Carefree Inn: __ Arlington Suites: __ Galleria Hotel/Resort: __ Emerald Palms Resorts __


Property Name: _________________________________________________

 

Address: ______________________________________________________

 

City/State/Zip: __________________________________________________

 

Property Phone: _________________________________________________

 

Property Fax: ___________________________________________________

 

Entity Name: ___________________________________________________

 

Entity Type: ____________________________________________________

 

State of Registry _________________________________________________

 

Tax ID Number _________________________________________________

 

Owners Name: __________________________________________________

 

Address: ______________________________________________________

 

Phone: _______________________________________________________

 

City: ________________________________________________________

 

Fax: ________________________________________________________

 

State/Zip: _____________________________________________________

 

Cell Phone: ____________________________________________________

 

eMail:________________________________________________________

 

Owners Name - Title ______________________  _______________________

 

% of Ownership_______________

 

Other Owners :  _________________________________________________

 

% of Ownership  ______________

 

Average daily room rate for Year Ending 2013 : $_________________


Annual Occupancy for Year Ending 2013  _______________%

 

Corridor Type: _____ Interior _____ Exterior _____ Other ____________

 

# of Floors _______ # of Rooms _______ # of Closed Rooms _______

 

Room Types: King: ______ Doubles: ______ Singles: _____ Suites: _____

 

Signed: __________________________________

 

Title: ____________________ Date: ___________

 

Enclosed the application fee via credit card authorization (Master Card or Visa only) authorized by applicant.

 

Fax signed application & credit card authorization (below) to 1-866-205-4222. Dan Sweigert

 

Application Fee Schedule:

CareFree Inns :  $1,000.00

Arlington Suites : $1,500.00

Galleria Hotels & Resorts :  $2,000.00

Form #2 of 2 to submit for the Preliminary Application - Please copy, fill out & fax as shown below

 

Affinity Inns & Resorts

Credit Card Authorization Form to submit with the Application form above.

 

Once this form is filled out and signed, please fax it to 866.205.4222.


If you have any questions regarding the form, please call me at 412.638.1992.

 

Credit Card Number: ____________________________________________

 

Expiration Date: _____/_____ Security Code: _________ (3 digit)

 

Card Type:  Visa  MasterCard (circle one)

 

Cardholder Name_______________________________________________

 

Company_____________________________________________________

 

Address_______________________________________________________

 

City/ST/Zip____________________________________________________

 

Telephone_______________________

 

Fax________________________

 

Authorization to Charge Credit Card

 

I, ______________________________________, hereby authorize the amount of

 

_______________________________________

 

 

to be charged to the above credit card for 

 

_______________________________________________________.

 

 

Signature

 

Date__________ Dan Sweigert - VP of Sales & Development 

 

Cell: (412) 638-1992  -  Call Dan if you have any difficulty filling this out.

 

 eFax: (866) 205-4222

 

 eMail: dksweigert@aol.com

 

Thank You !

 

Contact Us     Cell: (412) 638-1992 - Call Dan if you have any difficulty filling this out.

4 Hotel Brands Join Today

Award Winning CareFree Inn Houston
CareFree Inn Mesa, AZ

Call our Founder Direct:

David Larsen

Mobile 847-274-1011

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