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If you wish to request rates or information at this time please enter your name and address, telephone or email so we may contact you!

 

SECURE ORDER FORM

To process your reservation we will need ALL of the following information...

Customer Name*

:

 

 

Enter only your first name, same as the
first name that appears on your credit card.

Billing Address*

:

 

 

The address that you enter MUST be the same as
the one that appears on your credit card statements.

City*

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Country*

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State/Province*

:

 

 

Indicate state or province only if you live in the U.S. or Canada.

Zip/Postal Code*

:

Phone Number*

:

 

 

Please include the area code of your telephone number

E-mail Address*

:


Additional Information

 

 

 

Check In

:

Check Out

:

No. of Guests

:

 Adult     Children

Room Type

:

Room Type  

Pets

:

Special Comments

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How did you find us?

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Other

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Credit Card Information and Authorization

 

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Name on Card

Credit Card Issuing Bank or Issuer Name

Card Number

Card ID No

(Which appears at the back of your card )

 

Expiration Date

 

"Press Submit Button Only Once"

 

CANCELLATION POLICY

Reservation must be cancelled no later than 15 days prior to arrival.

If not, one night will be charged on credit card if guest does not check in.

 

 

 

 

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