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Print and Mail
Registration Form

468 Chestnut Street
Meadville, PA 
16335

Please fill in the following information, print off the form and mail it to us with your check or money order in the amount of $60.00.  This form must be received by us within 3 days prior to your desired date of reservation.   In the event you need to cancel, please contact us no less than twenty-four (24) hours before the date of your reservation. 

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Fax No.:
Phone No.:
E-Mail Address:

Reservation Information

Date(s) you wish to stay at Wynken, Blynken & Nod:

                                Beginning Date:

                                Ending Date:     

 

How many guests will be staying?  

How many rooms will be needed?  

                                                                            _________________________________________
                                                                            Signature of Person Reserving Rooms

We will either call, fax or email you for confirmation of this reservation.