Deming Reservation Form

Requested Arrival Date:

Estimated length of stay:

Patient Name:

Guest Name:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Number of Guests:

Adults

Children

Infants

Select One

Efficiency: Two twin beds/kitchenette/full bath. $50 per night (tax included) Two guests maximum.

One Bedroom: One full bed/kitchenette/living room/full bath. $6 per night (tax included) Three guests maximum.

Two Bedroom: Full bed in each bedroom/kitchenette/living room/full bath) $85 per night (tax included) Five guests maximum.

Please enter this word in the text field below, then click Submit.

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Thank you. A patient relations staff member will contact you within 24hrs or the next business day to discuss availability and confirm your reservation.

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Deming Reservation Form

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