Please fill out this form to request a reservation with
Wilderness Inn B&B.

Cancellation Policy
We have a 2 week cancelation policy whereby we will refund the advance deposit less $10.00 fee if cancelation is made 14 days or more before arrival date.
This is a Secure form.

Contact Information
First Name: (required)
Last Name: (required)
Address: (required)
City: (required)
State/Province: (required)
Zip/Postal Code: (required)
Country:  
Email: (required)
Day Phone: (required)
Evening Phone:  
Contact How?: Phone E-mail  
Best Time to Call? Day     Evening  

Travel Information
Reservation requests within 3 days of the expected arrival date please call 603-745-3890.
 
Check In is at: after 2pm
Check Out by:  by 11am
Arrival Date:  
Arrival Time:  (Estimated)  
Departure Date:  
Room: (First Choice) (required)
Room: (Second Choice) (required)
Number of Adults  :   (required)
Number of Children:    
  Children 6 and under are free. Additional people over double occupancy $10.00.

Payment Information
This form uses a secure connection that protects all communications that involve credit cards and sensitive personal information.
Credit Card Type:   (required)
Credit Card Number:   (required)
Expiration (month/year):     (required)
Exact Name on Card:   (required)
Card CVV#:   (required)
 

The CVV# (Card Verification Value) is the 3 or 4 digit number on (or around) the signature area on the back of your card.
For AMEX card holders, the 4-digit CVV# is printed on the front of your card, above the last few embossed numbers.
Contact your card issuer if you are unsure of your CVV#.

Billing Address (if different from Contact Information)
Address:    
City:    
State/Province:    
Zip/Postal Code:    
Country:  


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