923 S.E. Bay Blvd.Newport, Oregon 97365541-265-5088
Information & Reservation Request Form You can use this form to request additional information about our Accommodations and Services, or request a reservation On-Line. If you would like more information about our services, have special needs, or have questions about something not addressed in our web pages, please fill out all pertinent information and send this form to us using the at the bottom of this page. If you wish to make your Reservations, "On Line", be sure to follow directions carefully. Fill out all information requested on form, and use at bottom to send information to us. You can make payment by various methods, including cash, check, cashiers check, money order, or credit card. Please Note! We verify that all information submitted by you is correct, prior to confirming your reservations, billing you, or charging your credit card. Thank you! The Staff At Harbor Village R.V. Park®, Newport, Oregon. Your Name: Mailing Address: City: State or Province: Select State/Province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma OregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming------------------------------------- U.S. Military - Overseas Europe (AE) U.S. Military - Overseas Pacific (AP)-------------------------------------Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory ------------------------------------- Other! Zip Code: E-mail Address: Required For Our Server To Process Form! Daytime Phone:Area Code, Number, Extension Evening Phone:Area Code, Number, Extension How did you find us? Select from this list, or type your response below! I've Stayed With You In The Past. A Friend Told Me About You. Business Card. One Of Your Flyers Link From Woodall's Web Site Link From Newport Internet Link From Web Venues, Web Design Radio Advertisement Television Advertisement * Telephone Directory. * Newspaper * I Did A Search On The Web. * I Found A Listing On The UseNet. * Other! If there was an asterisk (*) next to your selection. Please elaborate here. Thank You! The best way to contact me is by: Please Select From This List ! E-Mail Telephone U.S. Mail The best time to telephone is: Please Select From This List ! Weekdays 9 am to 1 pm Pacific Time Weekdays 1 pm to 5 pm Pacific Time Weekdays 5 pm to 7 pm Pacific Time Weekdays 7 pm to 9 pm Pacific Time Saturday Sunday Other times, please specify in comments box. Reservation Information Arrival Date: Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2008 2009 2010 2011 2012 Departure Date: Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2009 2010 2011 2012 2013 2014 For A Total Nights Stay Of: -- 1 2 3 4 5 6 7 8 9 10 11 12 13 Two Weeks Three Weeks Monthly Space Preference # R.V. Type: Select From This List! Class A Motor Home Class C Motor Home Fifth Wheel Trailer Pull Trailer Pop Up Trailer Pick-Up Camper Size/Length In Feet: Model Year: For "On-Line" Reservations Please Fill Out The Following Information. Providing This Information On-Line, Only Holds The Reservation (If Available) For You Until It Is Confirmed By Our Office. Payment Method: Select Here ------> Cash Cashiers Check Check Money Order ---------------- Discover Master Card Visa Credit Card Number Expires: Month/Year -- 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec / -- 2009 2010 2011 2012 2013 2014 Please Indicate Number Of Persons Reserving By Age Group Number of Adults 0 1 2 3 4 5 6 7 8 9 10 11 12 Number of Children 0 1 2 3 4 5 6 7 8 9 10 11 12 Number of Pets 0 1 2 3 4 5 6 7 8 9 10 11 12 NOTE: We will contact you by the method you requested above to confirm your Reservations. The amount due will be verified at that time, prior to you sending payment, or us, charging against your card. This notification is done to protect you, our customer. Unless arranged in advance, rent will start on your reservation arrival date. Once reservations have been confirmed, no refunds will be made after reserved arrival date. Additional Comments Or Questions: Use this area for comments, additional information, special requests, or any questions you may have that weren't answered in our web pages. Thank You! Did you remember to include your e-mail address?
You can use this form to request additional information about our Accommodations and Services, or request a reservation On-Line. If you would like more information about our services, have special needs, or have questions about something not addressed in our web pages, please fill out all pertinent information and send this form to us using the at the bottom of this page. If you wish to make your Reservations, "On Line", be sure to follow directions carefully. Fill out all information requested on form, and use at bottom to send information to us. You can make payment by various methods, including cash, check, cashiers check, money order, or credit card. Please Note! We verify that all information submitted by you is correct, prior to confirming your reservations, billing you, or charging your credit card. Thank you! The Staff At Harbor Village R.V. Park®, Newport, Oregon.
If you would like more information about our services, have special needs, or have questions about something not addressed in our web pages, please fill out all pertinent information and send this form to us using the at the bottom of this page.
If you wish to make your Reservations, "On Line", be sure to follow directions carefully. Fill out all information requested on form, and use at bottom to send information to us. You can make payment by various methods, including cash, check, cashiers check, money order, or credit card.
Please Note! We verify that all information submitted by you is correct, prior to confirming your reservations, billing you, or charging your credit card.
Thank you! The Staff At Harbor Village R.V. Park®, Newport, Oregon.
Please Fill Out The Following Information.
Unless arranged in advance, rent will start on your reservation arrival date. Once reservations have been confirmed, no refunds will be made after reserved arrival date.
Use this area for comments, additional information, special requests, or any questions you may have that weren't answered in our web pages. Thank You!
Web Site Information © Harbor Village R.V. & Mobile Home Park Inc. 2000 - 2009 Website Created: 25 June 2000. Last Update: 29 June 2008 @ 1401 hrs. Pacific Time.