Name
*
First Name
Last Name
Phone Number (to be used solely to contact you about your claim)
*
-
Area Code
Phone Number
E-mail
*
(to be used solely to contact you about your claim)
Confirm E-mail
*
RediRewards™ Member Number
Red Roof Reservation Information
Red Roof Confirmation Number
*
Red Roof Hotel Location
*
Check-in Date
*
-
Month
-
Day
Year
Date Picker Icon
Check-out Date
*
-
Month
-
Day
Year
Date Picker Icon
Red Roof Rate Reserved
*
Currency
*
Comparison Rate Information
Lower Rate Found for Same Stay
*
Currency
*
Where did you find the lower rate?
*
(Website address/url - for example: http://www.website.com)
Upload a Screen Capture of the Lower Rate
Upload a File
(This is optional but will provide easier validation)
Cancel
of
Comments
(Please include any details that will assist us in reviewing your claim)
Submit
Should be Empty: