Lodging Request Form
Please complete the following request form in it's entirety. We will reply by phone or email to answer your questions or confirm your reservations.
First Name: **
Last Name: **
Street Address **
Address (cont.)
City **
State/Province **
Zip/Postal Code **
Country **
Home Phone **
Work Phone
FAX
email **
Preferred Contact Method and Time
Date of arrival (mm/dd/yy): **
Date of departure (mm/dd/yy): **
Number of guests: **
Number of rooms: **
(All Rooms are Non Smoking)
Standard (2 Queens)
Single Queen
King
King with Jacuuzi
Handicap King
Handicap (2 Doubles)
Requests, considerations, comments or suggestions:
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