On-line Guest Reservation Form

Note: This form will be processed by a secure server for maximum safety and peace of mind! If you still prefer, you may use our printable Guest Reservation Form and mail it to us, or call (800) 692-4262.

Contact Information

Name(s): E-mail:
Residence Address: City:
State/Zip:
/ Country:
Home Phone: Fax:
Business Phone:
Business Address:

Travel Information

Passport # (required of foreign guests when ready to book):
Arrival Date & Time:
Airline, flight# & Arrival terminal:
Depart. Date & Time:

Service Requested

Nunber of Guests:
    (Adults):   (Children):   No. of Boys:   Girls:   Ages:
Choose service needed: 
   Hosted B&B     Private Accommodation

Number the priority of areas you prefer (1 means the first priority).
Specify at least three:
         Upper East
         Upper West
         Midtown East
         Midtown West        
         Greenwich Village 
         Roosevelt Island  
         Brooklyn Heights
Maximum daily rate:         
Is private bath required? Yes No
No. of Bedrooms:          No. of Beds:
Bed Size:  Twin   Full     Queen/King    Doesn't matter
Do you smoke? Yes No    
Do you require a non-smoking accommodation? Yes No
Allergies (pets, down pillows, etc.):

Credit Card Information

Note: This form will be processed by a secure server for maximum safety and peace of mind! If you still prefer, you may call us at (800) 692-4262.

Credit Card: Visa     MasterCard     American Express   
Card Number
(required when client is ready to book):
Exp. Date: / (month/year)
Issuing Bank:

Other Information

How did you learn of our service?
Other Comments:

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At Home In New York
P.O.Box 407
New York, NY 10185-0407

E-mail: athomeny@verizon.net
Tel: (212) 956-3125 * Fax: (212) 265-8539 * Toll Free: (800) 692-4262


Copyright 2002 AT HOME IN NEW YORK. All right reserved.