FSLA Hotel Room Waiting List Form

FSLA Hotel Room Waiting List

Convention Hotel: Breakers Resort, Palm Beach
The submission of this form indicates interest in making a reservation for the type of room selected in the form. This does not ensure a reservation, only places you on the FSLA waiting list for a room.

Wait list submissions will be considered in the event of room cancellations on a first come, first served basis. You must be registered for convention before you will be given access to the hotel reservation.
Name

First NameLast Name
Company
Company Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Booking Information
Check-in Date

MonthDayYear
Date
Check-out Date

MonthDayYear
Date
Room Type
Run of House - Resort View
#of Guests
Notes
The submission of this form indicates interest in making a reservation for the type of room selected in the form. This does not ensure a reservation, only places you on the FSLA waiting list for a room.
Should be Empty: