Vichy Springs Resort - Reservations

Mineral Springs Resort and Country Inn

THIS IS NOT A GUARANTEE OF A RESERVATION OR A SPECIFIC RATE. Request is subject to availability. Upon receipt of this form, a representative of Vichy Springs Resort will contact you to confirm the reservation. If what you requested is not available, you will be contacted regarding other reservation options. Before sending this form please read our cancellation policies.

Please be aware that we require a two night minimum stay during some holiday and other select weekends for room accommodations and cottages. We look forward to having you at Vichy Springs.

Email Address	*
Name	*
Postal Address	*
City	*
State	*
Zip Code	- *
Country	*
Home Telephone	*
Cellular Telephone
Work Telephone
Accommodations
Arrival Date	*
Departure Date	*
First Accommodation	For Persons
Second Accommodation	For Persons
Third Accommodation	For Persons

Massage Therapy
Date of Massage
Time of Day
Length and Type
Number of persons

Date of Massage
Time of Day
Length and Type
Number of persons

Date of Massage
Time of Day
Length and Type
Number of persons

Credit Card Information
Credit Card Type	*
Credit Card Number (no dashes)	*
Expiration Date	*

I have read and understand Vichy Springs Resort's cancellation policies.

You may also phone (707) 462-9515 or fax (707) 462-9516 your credit card information.

* Required Information

Please print this form for your records.