Alexandria & Arlington Bed & Breakfast Networks (AABBN)
4938 Hampden Lane, Ste. 164, Bethesda, MD 20814
703-549-3415, Toll Free 1-888-549-3415, Fax 202-517-9179
www.aabbn.com, bbinfo@aabbn.com

Items marked with an “*” are required for the reservation.

CONTACT PERSON INFO

* Name of Contact Person (CP):

* Contact Person Phones, Day, Eve, Cell:

Contact Person Email, Fax, Address:

ACTUAL GUEST INFO

Names of Guests:

Guest Phones, Day, Eve, Cell:

Guest Email, Fax, Address:

* B&B & Room Desired:

2d Choice B&B & Room Desired:

3d Choice B&B & Room Desired:

*Arrival Date, Time, & Mode of Travel:

* Departure Date: Number of Nights of Stay:

* Quantity of Adults:

* Quantity of Children & Ages:

Local Contacts? Attending Special Events?

* Any Environmental or Pet Allergies?

* Any Dietary Restrictions?

* Any Smokers? Yes No Can smokers smoke outdoors only?

* Are you a business traveler? Yes No

* Are you a government or corporate traveler receiving per diem? Yes No

* Old Town Alexandria Only: Make, Model, Year, State, & Number of License Plate:

* Do you require a receipt? Yes No If so, should it be by: Email Fax USPS

NOTE: AABBN will send you address, directions, etc. Please be aware that our B&Bs do not advertise separately, so there is no way to contact the B&B without the information that we will provide to you. Please carry the address & directions with you.

CREDIT CARD AUTHORIZATION

* Name as on Credit Card:

* Cardholder Address:

* Cardholder Phones, Day, Eve, Cell:

Cardholder Fax & Email:

*Card Number & Expiration Date:

* Rate per Night & Tax Rate as on Description:

* Grand Total:

* I prefer to pay by? CC Check In Advance Check On Arrival Cash On Arrival

* I am aware of the Extremely Severe Cancellation Policy. Affirmed.

I hereby authorize AABBN to charge my credit card the amount shown above about 48 hours prior to my scheduled arrival date. AABBN will only charge me if they confirm my reservation at one of my listed choices of B&B's.

NOTE: If the guest is planning to pay by cash or check, this Credit Card Authorization is required to ensure compliance with the Cancellation Policy.

* Signature & Date ________________________________________________