Your Name
Your Title
Your E-Mail
Street Address
City
State or Provence
Country
Zip Code
Your Phone
Your Fax
Package Title
URL Address
Booking Phone
Toll Free Number
Fax Number
Booking E-Mail
Per Person Package Rate*
Per Person Package Value*
Stipulations
Expiration Date
Package Description 50 words or less
Geographic Heading
Metro Area
Closest Airport
Does the Package Include Airfare?	No Yes
If Yes, From Which Airport?
Does the Package Include Meals?	No Yes
If Yes, Please Specify
Does the Package Include Recreational Activities?	No Yes
If Yes, Please Specify
Do You Offer Brochures?	No Yes
Does Your Site Offer Secure On-Line Booking?	No Yes
Does Your Site Have On-Line Tracking of Traffic?	No Yes
Does Your Site Offer Commissions?	No Yes
If Yes, Specify Commissions Policy
Comments
Would you like to receive Priority Placement of your listing, plus the Preferred listing graphic by displaying the HotelNet Member graphic (shown at right) with link back to HotelNetDiscount.com?	No Yes

* Per person package rate MUST be at least 10% off the total of the rack rates of the individual package components to be listed on the HotelNetDiscount.com