Reservation Form

(*) Required Fields.

Please print and fax this form only after you have confirmed the availablity of the dates that you require. Submitting this form does not guarantee that a reservation has been made.

Name*
E-mail *
Dates Required*
Number of Nights
Number of Guests
First Room Choice THE BARNES SUITE

THE MADELINE SUITE
THE CECILIA SUITE
THE APARTMENT
GUESTROOM I

GUESTROOM II

FOX SUITE
alternate location
Second Choice THE BARNES SUITE
THE MADELINE SUITE

THE CECILIA SUITE

THE APARTMENT

GUESTROOM I

GUESTROOM II

FOX SUITE
alternate location
Billing Address
City
State
Zip
Country
Home Phone
Cell Phone
Credit Card Type
Credit Card Number
Credit Card Expiration Date
Arrival Time
Flight # (if app.)
Airline (if app.)
Departure Airport (if app.)
Departure Time (if app.)
Arrival Airport (if app.)

Please PRINT THIS form and fax to: (212) 427-6123