Personal Information Request Form

To help us process your request, please provide the following information so we can verify your identity.  


* Indicates field is required

Guest Information

First Name *

Last Name *
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Member NO.
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Enter your Best Western Rewards® member number, if applicable

Address

Address line 1 *
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Address line 2
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Zip/Postal Code *
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City *
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State/Province/Region *
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Country *
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Contact

Phone number *
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Select Phone Type
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Email *
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Are you located in the European Union?
Select One *

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Are you located in the State of California, US?
Select One *

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Please provide the date and location of your most recent stay at a Best Western branded hotel :
Arrival Date
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Please use mm/dd/yyyy or dd/mm.yyyy

Departure Date
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Please use mm/dd/yyyy or dd/mm.yyyy

Hotel name
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Hotel Location
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Please select your request :
Choose One *

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*If selecting Change Personal Information or Other, please describe below

Other
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*If you have selected Change Personal Information or Other, please state your request

After we have verified your identity, we will respond to your request.

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