Virgelle Mercantile
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Request for Reservations Form

(To request reservations, please provide as much information below as possible.)
(We cannot guarantee reservations, until you receive a confirmation email or letter from us.)


First Name:..............
Last Name:..............
Address:..................
City:........................
State:.......................
Zip/Postal Code:......
Email Address:........
Phone:.....................
Dates of Stay...........
Number in Party:......
ETA Virgelle:...........    A.M.    P.M.

Type of Accommodations Services Requested:

           Bed & Breakfast Room(s)

           Homestead Cabin(s)

Comments/Details/Special Requests:


 
  
Please click in the clear box above and type the number you see in the black box to the left...and,

Next click the submit button below.