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Reservation  Request Form

About You
NAME(s)
(as to appear on the confirmation):
POSTAL ADDRESS
ADDRESS CONT.
CITY/TOWN
STATE
ZIP CODE
COUNTRY
DAYTIME PHONE
EVENING PHONE
EMAIL
About Your Stay
ROOM DESIRED:
ALTERNATE ROOM DESIRED:
ARRIVAL DATE:
DEPARTURE DATE:
# OF NIGHTS STAYING   # OF GUESTS
Credit Card Information
CREDIT CARD HOLDERS NAME:
CREDIT CARD #
Type:
EXPIRATION DATE:  Month   Year
  I will call you with my Credit Card Information Instead.
COMMENTS

I understand that by submitting this form that my Credit Card will be charged a one night deposit to reserve the room for the dates listed above. Please click here to see our cancellation policy. Your privacy will not compromised. The Captain Farris House Never shares or sells data to any person or entity!

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THE CAPTAIN FARRIS HOUSE ~ 308 Old Main Street
Bass River Village, Cape Cod, MA 02664
(508) 760- 2818 ~ Fax: (508) 398-1262 ~ e-mail: rsvp@captainfarriscapecod.com
(800) 350-9477 from the USA, Canada, or the Caribbean
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