Reservation Form

We are providing this electronic reservation form as a convenience to you and to insure that we have all the information we need to determine availability of DUCK-IN BED AND BREAKFAST for the particular dates you want.Please fill out the form completely, including your contact information, e.g. name, phone number, e-mail address, dates needed, alternate dates needed, etc. The information you provide will be sent via e-mail to Duck-In, and we will contact you with the pertinent reservation information. You may also include any additional comments or questions in the text box just below the form.Thank you for choosing DUCK-IN BED AND BREAKFAST for your accommodation needs when in the Seattle area!

Proprietor's comments concerning reservations at this time

The cottage is fully booked for the month of August, 2006. Place your reservations early to secure the dates requested.

YOUR CONTACT INFORMATION:

(fields labeled in bold are required)

Your Email Address:

Your Name:

Your Street Address:

Your City:

Your State or Province:

Your Zip Code:

Your Country (if outside the U.S.)

Your Contact Phone Number:

This reservation is for how many people?
1 Person	2 People	3 People	4 People

DATES YOU WISH TO STAY:

Arrival Date:

Month: Day:

Departing Date:

Month: Day:

POSSIBLE ALTERNATE DATES YOU WISH TO STAY:

Alternate Arrival Date:

Month: Day:

Alternate Departing Date:

Month: Day:

YOUR COMMENTS OR QUESTIONS

Please use the following text box to ask us any specific questions you have or comments you would like to make about DUCK-IN BED AND BREAKFAST or our web site:

YOUR CONTACT INFORMATION:

(fields labeled in red are required)