Name            
Street          
City            
Province/State  
Country         
Postal/ZIP Code 
Phone           
FaxPhone        

Email           

                     Please check your e-mail address

Number of Rooms    Number of Nights Required  

Number of Adults   Number of Children          


ANTICIPATED ARRIVAL DATE
Day (dd):  Month (mm):  Year (yy): 


DEPARTURE DATE
Day (dd):  Month (mm):  Year (yy): 

Please Indicate the type of Accommodations Prefered:

 Standard Accommodations  Jacuzzi Included  Kitchenette

 Group rates              Crib req'd        NON Smoking Room(s) 

Extra Details

Explain exactly any details that you have to add to your request.

You may go back and correct or check your entries before you push SUBMIT.

Your e-mail address must be correct. If you do not receive a reply then assume that this form was not received and please resubmit.

We will process your request and then e-mail you a reservation number and information about methods to confirm your reservation.( via phone, fax, email, online form or mail).

No credit card information is required at this time. It will not be linked to your name.

Only to the reservation number that you will receive from us.

You will be informed of the options for payment to ensure your room(s) via e-mail.