Best Western Agate Beach Inn, Newport - Oregon, Information and Reservations Page

Information & Reservation Request Form

You can use this form to request additional information about our Accommodations or Services.

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 "Submit Button" 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 "Submit Button" at bottom to send form information to us. You can make payment in various methods, including cash, check, cashiers check, money order, or credit card. 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 Agate Beach Best Western Inn, Newport, Oregon.

Your Name:

Mailing Address:

City:

State or Province:   Zip Code:

E-mail Address: Required For Server To Process Form!

Daytime Phone:
Area Code, Number, Extension

Evening Phone:
Area Code, Number, Extension

How did you find us?

If there was an asterisk (*) next to your selection. Please elaborate here. Thank You!

The best way to contact me is by:

The best time to telephone is:

Reservation Information

Arrival Date:

Departure Date:

For A Total Of Nights Stay!

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:
Credit Card Number
Expires: Month/Year
/

Please Indicate Number Of Persons Reserving By Age Group

Number of Adults
Number of Teens
Number of Children

NOTE:    We will contact you by the method you requested above, to confirm your Reservations. The amounts due will be verified at this time, prior to you sending payment, or us, charging against your card.  This notification is done to protect you, our customer.

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?

Web Site Information © Best Western Agate Beach Inn 2001
Web Site Layout & Design ©Web Venues Internet Services™ & Alan Miller 2001
Limited Exclusive Use License Granted To Best Western Agate Beach Inn, By Web Venues Internet Services 2001.
Second Generation Website Created: 8 August 2001. Last Update: 15 September 2001 @ 0029 Hours, Pacific Time.




*Information & Reservations*	3019 North Coast Highway Newport, Oregon 97365 Reservations: 1-800-547-3310 Group Sales: 1-800-546-5010 Local: 1-541-265-9411 - Fax: 1-541-265-5342 E-Mail: reservations@agatebeachinn.com