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Bed & Breakfast Reservation Form
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*

Room Selection
Master Family Suite
Sunset West Room
Sunrise East Room
Oakview Room

Master Family Suite
$165.00 per night (double occupancy) plus 10.0% tax
Each additional person: $20.00 plus 10.0% tax
*Maximum 4 adults or 5 people with children
Sunset West Room
$135.00 per night (double occupancy) plus 10.0% tax.
Sunrise East Room
$145.00 per night (double occupancy) plus 10.0% tax.
Oakview Room
$120.00 per night (double occupancy) plus 10.0% tax.
Itinerary
Date of Arrival:*
 
mm/dd/yyyy
Date of Departure:*
 
mm/dd/yyyy
Size of your Party:*

Number of people
Billing Information
First Name:*

Same name as on your card
Middle Initial:

Last Name:*

Address Line 1:*

Where your statement is mailed
Address Line 2:

Apt. or Suite No.
City:*

State:

Postal Code:*

Phone:

Province:

Country:*

Credit/Debit Card Information
Card Number:*

No dashes or spaces please
Expiration Month:*

From your card
Expiration Year:*

From your card
Card Brand:*

*Credit card information is for reservation purposes only. You card will not be charged.
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