Hotel Room Discount Form

Studio Only Hotel Room Discount Form
A couple of notes before you complete the form:
- Don't fill out this form until AFTER the event. ASH does not accept confirmations, ONLY receipts
- Receipts submitted after 60 days may not be able to be reimbursed.
Which Event Did You Attend?*
Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Studio Name on Your Registration*
Are You a....*

Studio Owner/DirectorDance TeacherParent/GuardianDancer/Student
All rebates, discounts, and reimbursements are sent via check, who should the check be made payable to?*
Please upload a photo or PDF of your host hotel itemized receipt *

Cancelof
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature*

Clear
Should be Empty:

Studio Only Hotel Room Discount Form