Hessenland Country Inn

All fields required unless otherwise indicated. Please note this form is for a request for reservation and does not mean a room is available and put on hold - a credit card (Visa or MasterCard) must be provided (via email or phone call) to confirm the reservation (if there is availability). Thank you.

 

Personal Information

 

First & Last Name

 

Street Address

 

City

 

Province or State

 

Country

 

Postal or Zip Code

 

Telephone Number

 

Email Address

 

Reservation Information

 

Arrival Date

DD/MM/YYYY

 

Length of Stay Choose Option 1 Night 2 Nights 3 Nights 4 Nights 5 Nights 6 Nights 7 Nights

 

Number of Guests (age 11+)

 

Number of Guests (age 10 & under)

 

Room Type Choose Option Standard Deluxe Suite Country View Garden Terrace

 

Optional: Room Number Choose Option 01 02 03 04 05 06 07 08 09 10 11 12 14 101 205 301 302

 

Booking Plan Choose Option Room Only - EP Room & Breakfast - B&B Room, Dinner & Breakfast - MAP

 

Optional: Comments

 

Credit Card Information

 

PLEASE NOTE: THIS IS NOT A SECURE SERVER. THIS PORTION IS OPTIONAL! This information is needed to confirm your reservation with us. However, you may leave it blank and refer below for other ways to submit this information.

 

Name (as it appears on the card)

 

Card Type Choose Option VISA MasterCard

 

Card Number

 

Expiry Month Choose Option January February March April May June July August September October November December

 

Expiry Year Choose Option 2009 2010 2011 2012 2013 2014 2015 2016

 

Registration Options

 

OPTION 1: Complete this form, including Credit Card Information, and submit it to us online.

 

OPTION 2: Complete this form, without Credit Card Information, submit it to us online, then call or fax the Credit Card Information to us. Toll-free: 1-866-543-7736, Fax: 1-519-236-7505

 

OPTION 3: Print the fully completed form and mail or fax it to us. Hessenland Country Inn, RR#2 Zurich ON N0M 2T0, Canada

 

Registration Policies

 

• Weekends during high season require a minimum 2 night booking.

 

• Long weekends require a minimum 3 night booking.

 

• Reservation cancellation requires 72 hour advance notice or 1 night's accommodation will be charged to your account.

 

• All rates are based upon double occupancy.

 

• Please be reminded that this is only a Reservation Request and does not guarantee the reservation. We will reply with confirmation within 2 hours of your request between 8 am and 10 pm.

 

• Don't forget to check our Accomodation Information Sheet for information and policies that apply to all rooms.

 

• By providing personal information to us, you are consenting to us using it for purposes set out in our PRIVACY POLICY (please see the link at the bottom of our website) and disclosing it to the parties described in that policy.

 

Please enter the code you see in the box to submit your reservation request.