| Your Email
Address: |
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| Contract/Customer #: |
|
| Title: |
|
| First Name: |
|
| Last Name: |
|
| Reporting Month: |
|
| Property Name: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Telephone Number: |
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| Date Form Completed: |
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|
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| Safe with Limited Warranty Fee: |
$1.00
$1.50 |
| Revenue Split
(Safemark/property): |
|
Number of Rooms Available
(number of rooms X number of days in month): |
|
Number of Rooms
Occupied (Total Occupied Room Nights): |
|
Number of Rooms Occupied x $1.50: |
0
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Total Adjustments for the Month: |
|
Net Amount
Collected
(Total Safe revenue collected, excluding tax): |
0
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| Hotel Profit: |
0
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| Amount Due
to Safemark: |
0
|
|
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| Are additional supplies/training materials
needed at this time? : |
|
| Would you like to schedule a retraining
for your staff?: |
|
Would you like a representative from Safemark
to contact you for any reason? : |
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| Additional comments/suggestions: |
|
|