HARBOR LIGHTS INN
 RESERVATION/INFORMATION REQUEST FORM

Your Name:
E-mail Address:
(Required For Our Server To Process Form)
Phone:
(Area Code, Number, Extension)
Arrival Date:
Departure Date:

We will contact you via phone or e-mail as soon as possible to confirm that this date is available.

Additional Comments Or Questions
Did you remember to include your e-mail address?

If you would rather make your request via phone please call 1-800-228-0448.
Or, if you prefer, you can print this form and mail it in to us:

HARBOR LIGHTS Inn
235 S.E. Bay View Ave.
Depoe Bay, Oregon 97314

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