Romantic Getaways - Hotels & Resorts

Romantic Getaways(sm) - Lodging Establishment Registration Form

Please fill out this form and fax it to The Love & Romance Home Page(sm) at (559) 432-0664

Name of Establishment_________________________________________________________________________

Address of Establishment________________________________________________________________________

City/State/Province/Postal Code____________________________________________________________________

Contact Name__________________________________________________________________________________

__Owner __Manager __Other ____________________________________________________________________

Reservations Phone ( ) _______________________ Reservations Fax ( ) _______________________

Email Number ______________________ Web Site URL http://__________________________________________

Room Rates (Please list No of rooms available, Type of room and Room rate)

______________________________________________________________________ $__________

______________________________________________________________________ $___________

Please list all amenities offered by your establishment

___________________________________________________________________________________________

____________________________________________________________________________________________

_____________________________________________________________________________________________

Please list any other pertinent information or requirements:

_____________________________________________________________________________________________

______________________________________________________________________________________________

_______________________________________________________________________________________________

Submitted by_______________________________________________ Date__________________

Print Name_________________________________________________ Title ______________________________