Once you have confirmed your reservation, please fill out the Form below and press the "Submit" button when you are done.

A representative from LXR's Special Services department will contact you within 24 hours regarding your claim.

1. Complete the form below and click “Submit Form”. Required fields are marked with *. 2. Call 877-LXR-VIPS
* Confirmation Number:
Don't know your confirmation number? Call 877-LXR-VIPS
* Name on Reservation:
* Hotel Name:
* Hotel City Location:
* Arrival Date:
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Months May 2011 Jun 2011 Jul 2011 Aug 2011 Sep 2011 Oct 2011 Nov 2011 Dec 2011 Jan 2012 Feb 2012 Mar 2012 Apr 2012 May 2012
* Number of Nights Booked:
* Type of Room Confirmed:
Example: City View Room, Ocean View Room, Deluxe Suite
* Number of Guests:
* Amount of Room Rate Booked:
Example: $125.00 per night
* Specify Currency:
Example: USD, EUR, JPY
* Amount of Lower Room Rate Found:
Room only, not a package
* Specify Currency:
* Where Lower Rate Found:
Example: www.expedia.com
Comments:
(Please provide as much information as possible about how you arrived at the lower rate found. 500 character limit.)
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If you are a travel agent, please complete this section.   Travel Agent First Name: Travel Agent Last Name:   Travel Agent Phone Number:   Email Address:   Country: