Reservation Confirmation

Please fill out this form once you have talked with the Elizabeths and verified that your room requested and dates of stay are available. By filling out this form you agree that you have read and understood our policies and amenities. Thank you!

First name:
Last name:
Address:
Apt:
City:
State:
Zip:
Country:
Home Phone:
Work Phone:
Cell Phone:
email:
Number in party:

2nd person's name:
Children's name(s):
Dog(s)' name(s):
Dog(s)' size:

Do you have a specific room request:
And a second choice?
Arrival date:
Departure date:
Number of nights you'll be with us:
Number of children?
Ages of children (Please Separate by Space)
Will you need a Porta-Crib?	Yes No
Toddler bed?	Yes No
Arrival time:
Would you like parking?	Yes No
If 'Yes',
Car Make:
Car Color:
License plate #:

Enter any comments, special requests or questions below.

We'll call you to confirm and complete your request.

Have you stayed with us before? Yes No

If 'No', how did you hear about us?

Would you like to join our mailing list? Yes No

Please press when done, or press to clear this form

102 Bradford Street
Provincetown, MA 02657
508.487.3232