Exhibit A City of DeSoto Tourism Hotel Incentive Reimbursement Request Form
Hotel Name __________________________________ Primary Hotel Contact _________________________ Hotel Phone Number __________________________ Reimbursement Remittance Address ___________________________________ ___________________________________
Special Event Name_____________________________________________________________ Special Event Date, Description ___________________________________________________ Room Discount Tabulation ROOM TYPE REGULAR RATE DISCOUNTED RATE DISCOUNT PER ROOM MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY TOTAL REIMB REQUEST King Double Suite
Totals
MM/DD/YY = Total room number per night, per bed type
Special Incentive Tabulation INCENTIVE ITEM DESCRIPTION
AMOUNT
TOTAL REIMBURSEMENT REQUEST
__________________________ Hotel Authorized Signature
_______________________
Approved By
__________________________
_______________________
Title
Title
__________________________
_______________________
Date
Date
12-15
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