Reservation Form

Please Note: Individual reservations can be made for up to 9 rooms. For 10 rooms or more, please submit a Room Block Request.

SEMICON West Housing

Reservation Issue

Confirm Action

Problem with Regcode

Waitlist Info

Select "Show Availability," change your dates to a date range that is available, and complete your reservation.

Once your reservation is complete, choose "Change Reservation" and select your desired arrival and departure dates. A waitlist button will appear.

After clicking the waitlist button, review the dates and the hotel information on the waitlist form before submitting. You will receive a waitlist acknowledgement by email.

Editing Confirmation# 58550999

Arrival Date

Departure Date

Occupancy

Sort List by:

Please select arrival date

Please select departure date

Please select occupancy

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Enter Attendee Names

First Name*

Last Name*

Enter Guest Information
(*Asterisks designate required fields)

Title

First Name*

Last Name*

Company/Organization

Address*

City*

State/Province

ZIP/Postal Code*

Country*

Daytime Phone*

Ext.

Email*

Confirm Email*

CC Confirmation Email to:

Loyalty Program #

Roommate Information

Roommate #1:

Reg Code

First Name

Last Name

Arrival

Departure

Email (for confirmation)

Roommate #2:

Reg Code

First Name

Last Name

Arrival

Departure

Email (for confirmation)

Roommate #3:

Reg Code

First Name

Last Name

Arrival

Departure

Email (for confirmation)

Special Requests

Request 1 Bed

Request King Bed

Request 2 Beds

Away From Elevator

Away From Ice Machine

Late Arrival

Accessible Room: Hearing/Vision

Accessible Room: Wheelchair Accessible

Accessible Room: Roll-In Shower

Accessible Room: Support Bars in Bathroom

Accessible Room

Additional Comments

Guest Summary

Enter Financial Information
(*Asterisks designate required fields)

Credit Card #*

Credit Card Number is required.

Credit Card Type*

Card Type is required.

Name as it appears on the card*

Cardholder Name is required.

Expiration Date*

Expiration Date is required.

Important Information

* I acknowledge that I have read and understand the above-mentioned information and policies.

Editing Confirmation# 58550999

Enter Attendee Names

Enter Guest Information(*Asterisks designate required fields)

Roommate Information

Roommate #1:

Roommate #2:

Roommate #3:

Special Requests

Additional Comments

Guest Summary

Enter Financial Information(*Asterisks designate required fields)

Important Information

Enter Guest Information
(*Asterisks designate required fields)

Enter Financial Information
(*Asterisks designate required fields)