Online Reservation Request Form

Your Name:

Address:

City:

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Daytime Telephone:

Evening Telephone:

Email Address:

Preferred Date of Reservation (mm/dd/yy):

Alternate Date of Reservation (mm/dd/yy):

Number of Nights:

Total Number of Guests:

Check this box if children (age 16 and under) will be staying with you

Room: Please select one Single Queen Room Single Queen Suite Double Queen Room Double Queen Suite King Jacuzzi Room Queen Jacuzzi Suite Handicapped Accessible Single Queen Room Handicapped Accessible Single Queen Room (w/roll-in shower) Handicapped AccessibleSingle Queen Suite Handicapped Accessible Double Queen Room (w/roll-in shower)

Check this box if you are requesting the top floor Deluxe Room Option (see room descriptions for more info)

Additional Comments & Requests:

Please note: Submitted reservation requests are not final until you recieve confirmation from us via telephone or email. Or you can call us toll free at 1.866.482.7666 to confirm your reservation.

We will call or email you using the contact information you have provided above, so make sure it's correct!