A Shady Springs Cottage

Information Request Form

Name:    
Address:   
              
City:  
State:
Zip:    

Daytime Phone:   
Nighttime Phone:
Best Time to Contact:
Time Zone:

Email address:
Prefered Contact Method: - Email or Phone

Check In Date:
Length of Stay (# of Nights) :
Number of Guests:

Special needs:

Other Questions or Comments:


PLEASE NOTE: This IS NOT a confirmed reservation; only a price quote & availibility request. We will contact you via phone or e-mail ASAP after receiving your request. Reservations are not confirmed until a 50% deposit has been received & a confirmation number has been sent to you. Thank you.