Landmark Inn
Information Request Form

---

Individual or Group.

---

Type Group: None Family School Church Business Pleasure Convention Other in Comments

---

Number of Nights: 1 Night 2 Nights 3 Nights 4 Nights 5 Nights 6 Nights 7 Nights 8+ in Comments

---

Number of Rooms: 1 Room2 Rooms3 Rooms4 Rooms 5 Rooms6 Rooms7 Rooms8 Rooms 9 Rooms10 Rooms11 Rooms12 Rooms + Rooms in Comments

---

Type of Room: Click Down Arrow for Selection>>>>> Standard-2 Queen Beds Jacuzzi,Fireplace,Jacuzzi & Fireplace KingKitchenetteSuite

---

Smoking: Yes No Either

---

Handicapped: Yes No

---

No. of People per Room Adults: 1 Adult2 Adults 3 Adults4 Adults 4+ in Comments Children (17 or under): None1 Child 2 Children3 Children 4 Children4+ in Comments

---

Arrival: JanFebMar AprMayJuneJulyAugSept OctNovDec 12345 678910111213 1415161718192021 22232425262728 293031 20072008 ----- Departure: JanFebMar AprMayJuneJulyAugSept OctNovDec 12345 678910111213 1415161718192021 22232425262728 293031 20072008

---

Please Send Availability and Rates by E-Mail Please Send Brochure, Rates and Availability by U.S. Mail Please Send Brochure Only CONTACT INFORMATION Email Address First Name Last Name Street Address City State Zip Telephone Number Fax Number Group or Company Name (if applicable)

---

Comments and Additional Information:



One Click of the Send Button will do it!