Name:
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Address:
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City/State/Zip:
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E-mail Address:
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Phone:
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Cell Phone:
Best time of day to reach me:
My arrival date:
Estimated time of arrival:
My departure date:
Inquiry only
Yes
No
I would like to confirm a room for my chosen date.
Yes
No
Please call me for credit card details
Yes
No
Proprietor select room for discounted price.
Yes
No
Room preference (1st choice)
Room One (Midweek_$119 Weekend_$139)
Room Two (Midweek_$119 Weekend_$139)
Room Three (Midweek_$115 Weekend_$125)
Room Four (Midweek_$110 Weekend_$119)
Room Five (Midweek_$110 Weekend_$119)
Room preference (2nd choice)
Room One (Midweek_$119 Weekend_$139)
Room Two (Midweek_$119 Weekend_$139)
Room Three (Midweek_$115 Weekend_$125)
Room Four (Midweek_$110 Weekend_$119)
Room Five (Midweek_$110 Weekend_$119)
Name of guests:
Number of guests:
Please indicate food allergies, or dietary restrictions.
How did you hear about us?
Company (if applicable)
Conference or event you will be attending in the Chico area
Questions & Comments:
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Required