MWR Lodging Reservation Request Form Please fill out the Reservation Request Form below. Your reservation will only be finalized when an MWR Staff Member gets in touch with you. Any questions, please call (508) 968-6461. Name * Name First First Last Last Mailing Address (Street, Town, State, Zip) * Phone ###-###-#### * Email * Best way to contact me is * Email Phone Eligibility Determination: Pay Grade / Rank * Booking Priority: Reason For Your Visit * 1st Priority – PCS2nd Priority – TAD/TDY3rd Priority – Vacation/Permissive Orders/All Others Branch of Service/Affiliation * Coast GuardNavyAir ForceArmyMarine CorpsAir National GuardOther (Please specify in comments at bottom of page) Type of MWR Authorized Patron * Active DutyRetired MilitaryReservist/Air National GuardFormer Prisoner of WarPurple Heart RecipientVeteran With Service-Connected DisabilitiesDOD/DHS Civilian EmployeesOther (Please specify in comments at bottom of page) Check In Date: * Check Out Date * Comments/Questions: Hold Harmless: As users of this facility, I/We agree to reimburse, indemnify, and hold harmless the Coast Guard, the Coast Guard MWR program, its agents and employees from any and all claims and cause from my/our use of the Coast Guard MWR equipmet or facilities. * AGREE DISAGREE Once contacted by MWR Lodging Staff confirming your reservation, you will have 24 hours to call and book your reservation via credit card. Failure to do so will forfeit your reservation. * AGREE DISAGREE Captcha If you are human, leave this field blank. Submit
