Reservation Request
How this form works
:
Once you have completely filled out the reservation request form, click the submit button. Your request is immediately sent to the Elk Ridge via email. The innkeeper will contact you to confirm any reservations. If you have any problems or delays in response, please contact us via
E-MAIL
or 1-877315-1046
Contact Information
Title:
Mr.
Ms.
Mrs.
Miss
Dr.
First Name:
Last Name:
Address (line 1):
Address (line 2):
City:
State/Province:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
----
Alberta
British Columbia
Manitoba
Michoacán
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
(required for USA and Canada)
Zip/Postal Code:
Country:
Andorra
Antigua and Barbuda
Argentina
Australia
Austria
Bahamas
Barbados
Belgium
Belize
Bermuda
Bhutan
Bolivia
Botswana
Brazil
British Virgin Islands
Bulgaria
Canada
Cayman Islands
Chile
China
Colombia
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Dominica
Dominican Republic
Ecuador
Egypt
England
Estonia
Fiji
Finland
France
French West Indies
Germany
Ghana
Gibraltar
Greece
Grenada
Guadeloupe
Guatemala
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Kenya
Latvia
Lebanon
Leeward Islands
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malaysia
Malta
Mauritius
Mexico
Micronesia
Monaco
Morocco
Mozambique
Namibia
Nepal
New Zealand
Netherlands
Nicaragua
Norway
Palestine
Palestine Authority
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Romania
Russia
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and Grenadines
Samoa Islands
Scotland
Seychelles
Slovak Republic
South Africa
South Korea
Solomon Islands
Spain
Sweden
Switzerland
Tanzania
Taiwan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turks and Caicos
Seychelles
Uganda
Ukraine
Uruguay
USA
Venezuela
Virgin Islands
Wales
Zanzibar
Zambia
Zimbabwe
Day Phone:
Evening Phone:
Fax Number:
Email:
Dates Requested
First Choice:
Check in date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
Check out date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
Second Choice:
Check in date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
Check out date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
Estimated Time of Arrival:
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
AM
PM
General Information
Number of adults traveling:
Number of rooms requested
Specific Room Request
First Room Choice:
Blue Room
Green Room
Gold Suite
Bunk Room
Peach Room
Second Room Choice:
Blue Room
Green Room
Gold Suite
Bunk Room
Peach Room
Third Room Choice:
Blue Room
Green Room
Gold Suite
Bunk Room
Peach Room
Additional Comments:
I understand that Elk Ridge B&B requires a deposit in order to make a reservation. If I do not cancel my reservation within the time specified by the policies of this particular B&B or inn, I may forfeit all or part of my deposit.
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Copyright © 2000 Elk Ridge Bed And Breakfast modified: May 06, 2005