RESERVATION REQUESTED WILL CONFIRM BY EMAIL
Group (Wedding) Name:_______________________ Date of Function: ____________
Time: __________ Guest Attending: _____________
Person Responsible for Reservation:________________________ Phone Number: _______________
Dining Room (please circle): Carriage Room Mr. Hogue Room Gold Room Veranda
Room Rental fee for the Carriage Room, Mr. Hogue Room, and Veranda is $500/2 hours
Room Rental fee for the Gold Room is $200/2 hours
In our private rooms only 2 hours rental included in fee
Would you like additional time in our room for $100/hour: Yes or No How many?______
Would you like for us to serve local wines and beer with the function: Yes or No
Email for Confirmation: ______________________________ Date of submission:_______
**This is not a guarantee of reservation. You will receive an email confirmation of the reservation if the date and room is available.
|CREDIT CARD AUTHORIZATION FORM|
Please identify credit card below (check one)
____ American Express ____ MasterCard
____ Discover ____ Visa
Credit Card Account Number: _________________________________________
Exp. Date ____________________ CVC Code ________ Zip Code _____________
Amount Charged on card:$Room Rental fee Date of charge: ______________
I hereby authorize THE SMITH HOUSE to apply costs for the above listed items/services to the credit card identified above.
Cardholder Signature ___________________________________________Date ___________
The room rental fee will be charged to the card provided. The same card associated with the event scheduled will be charged to the card above. The confirmed number of guest attending is the number charged for the event. It is the responsibility of the party to change the number 2-week in advance of the arrival date if the number is different than the booking number. A copy of the itemized bill can be picked up the night of the event at the front desk.
Email form to Freida@Smithhouse.com or Fax to 706-748-7377 an acknowledgment email will be sent about availability of reservation.