First name: | |
Last name: | |
| Address: | |
| City: | |
| State (2 letters please): | |
| Zipcode: | |
| email address (required): | |
| Phone (with area code): | |
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| Do you wish to bring a pet: | No Yes |
| How many in your party?: | |
| What month you would like to come: | |
Which dates in the month
would you like to reserve
(please specify the "nights" you plan to stay): | |
Do you wish to make a reservation at this time or just inquire about availability?
For reference, here is the Current Availability Calendar | Make reservation Inquire Only |
If you wish to make a reservation at this time,
and you are comfortable including your credit card information via this form,
please enter your credit card information (Visa, MC or Discover) here.
If you wish to pay by check, or wish to convey credit card information by phone or mail, of course that is fine.
Many people choose to send credit card information by email; my experience is that there has never been a security problem.
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Payment information: | Please contact me
for payment information
Here is my credit card info |
| Credit card Number |
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| Credit card Expiration Date |
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| 3 digit Credit card cvv2 (on back) |
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| If the credit card billing address is different from the address shown above, please supply the credit card billing address here: |
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Would you like to obtain a Jin Shin treatment during your stay | Yes Maybe No thank you |
We would much appreciate knowing
how your heard about
the Garden House? |
Via Searchengine?
Please tell us what your search query was:
Some other way?
How? (friend, brochure, ?)
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| Questions, comments, requests: |
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