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TheNordicHaus.com Reservation Request Form
Name .
Address 1 .
Address 2 .
City State Zip .
 Phone Number  

(       )                    Best Time to call: morning, afternoon, evening (circle one) 
E Mail Address  .
How Many Adults? .
Children?  .
Check In Date .
Check Out Date .

Please Print Information Clearly and be sure to fill out this form Completely

Terms: 50 % due with reservation; payment in full due within two weeks of arrival date. Please include 6% Use Tax. Payment Information :  Check Enclosed = $ ______________    or  Charge to Credit Card: Circle One: 

MasterCard Visa Discover
Name on Card:

.
Card Number:

.
Expiration Date:

.
Issuing Bank:

.

Total Rental Rate: $ ________ (Include 6% Use Tax) Charge in full? ____  or 50 % Deposit = $ ________ 

This process requires your signature and this portion must be included with your application. 

Signature Area       a

---You MUST Sign This Form---
Comments or Special Requests:

 

Mail to: TheNordicHaus.com 302 N. Franklin St.  Port Washington, WI 53074

-or-  Fax to: 888-313-7977

Cancellation Policy: If we are notified at least 30 days prior to your confirmed reservation, we will refund all but a $50 handling fee. There will be no money returned on confirmed reservations if we are given less than 30 days cancellation notice. This reservation is made on the basis of Michigan's 'transient overnight lodging' for the number of nights and guests stated. You are responsible, and agree to pay, for any damages/missing items (including attorney's fees) to TheNordicHaus.com for its contents during reservation period.