Reservation Form

Upon receiving your reservation request,
I will make your booking and email you instructions for paying the deposit.

All fields are required.

Personal Information

First Name:      Last Name: 

Address:

Street:
City: State: Zip:

 

 

Email:

Phone numbers (please include area code):

Daytime:
 ext.
Evening:

Cell:

 
Fax:



Lodging

Dates:

Check-in date:   
Check-out date:   

Number of adults:

Number of children:

Please specify ages of each child under 18:

Property preference:

First Choice: Second Choice: Third Choice:

If you selected "Other" as your choice, please specify the property you want below:
 
First Choice:
 Second Choice:
 Third Choice:

Room preference:

NOTE: please submit separate reservation form for each room you are booking.

Airline and Car Rental

Do you need airline reservations?

Yes!

   Departure gateway city:
No

Do you need a rental car?

Yes!

   Please Choose: No

Feedback, Questions and Comments

How did you find me?

If you found me with a search engine, please specify which one:


Additional Questions and Comments: