LODGING REQUEST/AGREEMENT OPERATION JINGLE 2007
(One application is required for each room desired)
Name (last, first. middle): Rank/Rate: Command: Work phone:
Room preference (check one): Special rooms: Smoking
Double (2 beds) or Non-Smoking Norfolk
Single (1 bed) Crib Handicap Virginia Beach
(As available. Cannot guarantee availability of Requested Room Type)
Rollaway bed
(As available. Cannot guarantee availability of Special Request Rooms)
Location Preference (1st, 2nd, 3rd):
(Cannot guarantee availability of Location)
Portsmouth
Relationship of guests to service member (parents, brother, sister, etc.): Dates Room Desired: Dec. 23rd Dec. 24th Dec. 25th
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Cost: $10 per room per night with Cashiers Check or Postal Money Order made payable to: “Navy/Marine Corps Relief Society”
Check-in Sunday, 23 December after 3 p.m. Check-out Wednesday, 26 December before 11 a.m.
I certify that I am requesting this room for visiting family members and that I reside aboard a Norfolk-area based ship or in Norfolk-area military barracks. I assume full responsibility for all incidental expenses and any damages that may be incurred or caused by my guests or myself during their stay as part of “Operation Jingle”.
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(Signature of service member)
Are you or your visiting family members willing to talk to news media about Operation JINGLE: Yes No ________________________________________________________________________________________________ **TO BE COMPLETED BY COMMAND REPRESENTATIVE** Command Rep’s Name: Phone: Email address: Alternate Command Rep: Phone: Email address:
Application verified by: _______________________________________________
(Signature of command rep) Forms should be forwarded with reservation fee in form of cashiers check or money order to Commander Navy Region Mid-Atlantic Public Affairs Office, 1510 Gilbert St., Bldg N-21, Room 205, Naval Station Norfolk NLT 17 Dec 07.
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**TO BE COMPLETED BY COMNAVREGMIDLANT Coordinator**
Date/Time received: _____________________________ Hotel Assigned: _________________________________ Number of Rooms Provided: _______________________ Reservation Fee Received/Amt: _______________________ Confirmation Number: _______________________________ Number of People: __________________________________
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