MOTEL, COTTAGES & SUITES
RESERVATIONS
This is not an email form. Please print and mail this form to us or Call Us. You can email us at
info@mainecarriagehouse.com.
Thank you.
FIRST NAME
MI (if applicable)
LAST NAME
STREET ADDRESS
ADDRESS LINE #2
CITY
STATE
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PROVINCE/COUNTRY
POSTAL ZONE OR ZIP CODE
EMAIL ADDRESS
TELEPHONE NUMBER
ACCOMMODATION REQUESTED
One Bedroom Cottage
Two Bedroom Cottage
Country Inn Suite
Deluxe Motel Suite
SMOKING - all accommodations are non smoking
DATE OF ARRIVAL
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
DATE OF DEPARTURE
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
NUMBER OF ADULTS
ONE
TWO
THREE
FOUR
FIVE
SIX
NUMBER OF CHILDREN
NONE
ONE
TWO
THREE
FOUR
FIVE
SIX
PLEASE SELECT YOUR METHOD OF PAYMENT.
CREDIT CARD
CHECK
MONEY ORDER
TRAVELERS CHECK
CASH
DEBIT CARD
PLEASE SELECT A CREDIT OR DEBIT CARD OPTION
VISA
MasterCard
American Express
Discover
CREDIT or DEBIT CARD NUMBER
Enter Numbers Only (No spaces or other characters)
VERIFY CREDIT or DEBIT CARD NUMBER (enter number again)
CREDIT CARD or DEBIT CARD EXPIRATION DATE.
Select both month and year.
MONTH
YEAR
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
EXPIRATION
day of month
(if applicable)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
If you are paying by any other method other than credit card or debit card then you need to make further arrangements concerning payment of a deposit before confirmation of reservation can be made. The Carriage House will attempt to hold your reservation request until you make further arrangements for payment of deposit, but we can not guarantee a reservation without a deposit. If you make a reservation using this form you should call us to confirm the reservation ( if you do not hear from us within 48 hours). For all mail inquiries please write to:
Carriage House
1404 Post Road (US Route 1)
Wells, Maine USA 04090
ENTER REMARKS HERE
This is not an email form. Please print and mail this form to us or Call Us. You can email us at
info@mainecarriagehouse.com.
Thank you.
CALL
888.213.4720
for
RESERVATIONS
t
See You at the Carriage House.
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