Mississippi Bed and Breakfast Reservation Service
line

Information Form

You may use this form to initiate lodging reservation assistance. We will respond by FAX, Phone, Mail, or E-Mail as requested.

This form does not guarantee reservations until confirmed
with an advance deposit and a Reservation Number.

Fields with an asterisk (*) are required

*Guest Name(s):
*Number in Party: Adults: Children:
*Address:
*City:
*State or Prov: *Zip Code:
*Country:
*Daytime Phone: (required)
Evening Phone: (optional)
Fax:
*E-mail:
Notify guest by:

Destination Note: Small towns may not have B&B's, Please be as specific as possible about activities, occasion for travel or locale you desire. Note any large cities or towns that may be near and/or acceptable for your stay:

*Arrival Date:
Arrival Time: (please specify a two hour window OR plan to call your host 48 hours ahead to arrange time of arrival.)
*Departure Date:

What Classification of Accommodations would you prefer?

Number of Rooms Required?

Will you require a certain type of bed size?

Will you require a Private Bath?

Will you require Parking?

What smoking policy best describes your needs?

Please use this space to provide us with information to help us find the perfect accommodation for you. Be sure to alert us to any allergies, sensitivities, physical limitations, or dietary requirements which we should consider. And please note the ages, gender and sleeping requirements for the children in your party.

Please tell us how you heard about our web site:

This form does not guarantee reservations until confirmed
with an advance deposit and a Reservation Number.


Call us toll free 1-800-633-6477 or send us e-mail at BLincolnH@aol.com

line

WelcomeDestinationsAccommodations
ReservationsInquiriesMapHome