Preferred Corporate Rate Application Form

Heart of America Restaurant & Inns has designed a special Preferred Corporate Rate Program for small to medium-sized companies interested in business traveler-friendly hotels in Iowa, Minnesota, Wisconsin, and Kansas.

To enroll your company in our Preferred Corporate Rate Program, please complete the form below.

Boxes marked (*) are mandatory.

Business profile:
* Company Name:
Type of Business:
* Address 1:
Address 2:
Address 3:
* City:
* State:	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Country:
* Daytime Phone Number:
Yes! E-mail me when there are program updates and special offers from Heart of America Restaurants & Inns
Program Administrator Each company must designate one employee to administer the Preferred Corporate Rate Program account as the company's representative. This employee will serve the role of Program Administrator and is responsible for advising Heart of America Restaurants & Inns of any changes in the company's information by updating the company profile on this website.
Title	Miss Mr Mrs Ms
* First Name
* Last Name
* Daytime Phone Number:
* Email:
Where did you hear about Heart of America Restaurants & Inns Preferred Corporate Rate Program?	www.HeartofAmericahotels.com News media or advertisements From Heart of America Restaurants & Inns Sales Reps From e-mail promotion Other
Total number of nights my company employees stay at a hotel per year:	Less than 20 21-50 nights 51-100 nights 101 and more nights 76-100 nights 100 and more nights
My company's annual hotel spending is:	Under $10,000 $10,000-$100,000 Over $100,000
The number of people in my company is:	0 - 15 16-50 51-100 Over 100
My company is interested in Heart of America Restaurants & Inns in the following locations:
All Heart of America locations
Minnesota Hotels
Iowa Hotels
Kansas Hotels
Wisconsin Hotels
Type of Business:	Construction Finance Insurance & Real Estat Manufacturing Mining Retail Services Transportation Communications and Utilities Wholesale Other