A Victorian Sentiment
Reservation Request

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and mail or fax it to us

Name
Address
City
State
Zip
Phone (with Area Code )   

Arrival Day Date Time
  Spa Treatment Bed & Breakfast Both
Length of Stay
Rooms Desired
Treatments Desired
Number of Persons

Payment Method Money Order Visa/Master Card Amex
  Discover Cart Blanch Diners
All major credit cards are welcome Other
Credit Card Number
Expiration Date Month Year
Name of Cardholder
(if different than above)

Phone of Cardholder
(if different than above)

Cardholder's Signature

For A Victorian Sentiment Use Only
     
DATE AUTH CO REF CO

RESERVATIONS may be made with one night's advance deposit or 1/2 total due for over two nights (including tax) with the balance due on arrival.
CANCELLATION: Deposits are not refundable. If it is necessary for you to change or cancel your reservation, your deposit will be credited to a future stay any time within one year provided request is made 15 days prior to the arrival date.