Room Reservation Form

Name:

Email address:

Street Address:

City:

Prov/State:

Postal/Zip Code:

Daytime phone number:

(please be sure to include the area code)

Evening phone number:

(please be sure to include the area code)

Best time to reach you:

Which room(s) would you like to reserve?


Champagne Room	Ebony Room	Ivory Room	Rose Suite

Which nights would you like to stay at Mornington Rose?

Arrival date:

Number of nights:

Time of arrival:

Number of people in your party?

Additional information
or comments:

Please note that this is a Request for Booking only, not a confirmed reservation.