Flagship Inn - Info Request Form

Reservation Request
Please Provide the Following Information About Yourself
Full Name:
Company:
Address:
City:
State/Province:
Postal Code:		Country:
E-Mail:
Home Phone:
Work Phone:
FAX Number:
Comments:
How did you locate this site?

IMPORTANT NOTE: If you would like to request a reservation, please select YES below and complete the following form in addition to the previous information. Once received, we will verify room availability based on your requirements and call you at the telephone number you provided above to obtain credit card information and confirm the reservation.

Would you like to request a reservation? YES NO

Arrival Date:

Departure Date:

How Many Rooms:

How Many Adults:

How Many Children:

Room Content Preference:

Smoking Preference:

Rate Requested:

Would you like to request a reservation? YES NO
Arrival Date:
Departure Date:
How Many Rooms:
How Many Adults:
How Many Children:
Room Content Preference:
Smoking Preference:
Rate Requested:

Please check your data before you submit the form..THANKS!

Send E-Mail to the Concierge (Actually the resident manager): Flagshipinn@aol.com