Just Print this form, then mail or fax it to us

Suite requested
Date(s)
Daily
Weekly
Amount
Apple Room
Rose Garden Room
Candlelight Suite
Executive Suite
Horse and Buggy Bungalow
Entire Inn


______________
______________
______________
______________
______________
______________
85
90
150
125
100
450
475
505
725
600
560
2500
______________
______________
______________
______________
______________
______________

10% state and room tax  ______________

Subtotal  ______________

Deposit  ______________

Total  ______________



Name ________________________________________________________________
Address ______________________________________________________________
_____________________________________________________________________
               (City)                                               (state)                                      (zip)
Phone #(____)_________________________________________________________

Method of Payment:
     _____Check                                 _____Visa                              _____Mastercard

_______________________________   _______
Credit Card #                                            Exp. Date

_____________________________________________________________________
Signature


Mail reservations to:
Angelique Inn
813 5th Ave. West
Hendersonville, NC 28739
  Or Phone:
Toll free: (866)693-7013
Local: (828)693-7013
Cellular: (828)215-4147

       
Or:   E - mail: rself@carolinasda.com          
Web page:www.angeliqueinn.com

Proprietors: Bob & Ruthie Self


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