Squire House Bed & Breakfast :: Inquire About a Reservation

This is a Secure form.

Contact Information:
First Name:	(required)
Last Name:	(required)
Address:	(required)
City:	(required)
State/Province:	(required)
Zip/Postal Code:	(required)
Country Code:
Email:	(required)
Home Phone:	(required)
Cell Phone:
Contact How:	(required)
Best Time to Contact:	(required)
Travel Information:
For arrival dates within 1 day of today's date please contact the property directly.
Arrival Date:	(required)
Departure Date:	(required)
Room:	(required)
Room (2nd Choice):	(required)
Number of Guests:	(required)
Payment Information:	This form uses a secure connection that protects all communications that involve credit cards and sensitive personal information.
Credit Card Type:	(required)
Card Number:(no spaces/dashes)	(required)
Expiration (month/year):	(required)
Exact Name on Card:	(required)
Credit Card CVV#:	what's this? (required)
Billing Information: (If different than address above.)
Address:
City:
State/Province:
Zip/Postal Code:
Country Code:
Comments/Requests:

We accept credit cards, but would prefer personal checks as payment. We require credit card information to reserve a room. We do not charge the credit card account until departure unless there is a same-day cancellation or no-show. We will contact you by phone or e-mail to confirm this reservation. Thank you.
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