Find Your Next B&B Make Reservation Order Gift Certificate Special Events Becoming a Host Contact Us
B&B MidWest Directory
Find Your Next Chicago, Illinois, or Indiana Bed and BreakfastMake Reservations for a Bed and Breakfast in Chicago, Illinois, or IndianaOrder Gift Certificate for a Chiocago, Illinois or Indiana Bed and BreakfastBed and Breakfast Special EventsBecoming a Bed and Breakfast HostContact Us

Copyright ©
1996-2014 by

Brilliance
Web Design


All rights
reserved.
Accommodations Registration Request Form
(If you would simply like to make an inquiry, please use our Contact form.)
 
  
"B&B is the only way to travel. It's so personable...people aught to know." - M&M Lenhardt

Please fill out the following information about your stay in a Bed & Breakfast/Resort accommodation in the MidWest associated with B&B MidWest Directory.
 
PLEASE NOTE: Filling out this form does not represent a confirmed reservation. Cancellation policies according to terms of particular reserved accommodation. 
You will be contacted regarding a room availability to match your request! 
Host Location:
 


 
First Name:Last Name: 
 
First & Last names of other occupants:  
Number of children in party: Children's age range:  
Street Address:  
 
City, State, Zip Code:       
Home Telephone:Office Phone:FAX:E-mail: 
 
Items in bold MUST be completed. 
Optional 
Employer:  
Employer's Street Address:  
 
City, State, Zip Code:       
     
Travel Information 
Arrival Date:Arrival Time:Departure Date: 
 
Location Information:Transportation Method: 
 
Items in bold MUST be completed. 
Accommodation Information 
     
How were you referred to
B&B MidWest Directory?:
 
Purpose of trip:  
Should this be kept a surprise from other guest(s)?: No Yes 
Special Request:
Jacuzzi  Fireplace  Private Bath  2 or more rooms 
Double/1 Bed  King/Queen Bed 
Non-Smoking  Smoking  Full Breakfast 
Handicap Provisions*  Pets*  Allergies* 
*Please detail your specific situation below
Other Request:  
Please note: An attempt will be made to meet all special requests but you will be informed when a particular need can not be made by the location you have requested. 
 
Form Submission  
Your request will be filled on a first come first serve basis. The individual host will call you at the number(s) provided above or contact you via email to confirm your reservation.  
    
  ** B&B MidWest Directory is a FREE SERVICE for
MidWest bed and breakfasts.
No additional fees are ever added. **


Go Home To B&B MidWest
Find Your Next B&B * Make Reservations * Gift Certificates
Special Events
Becoming a Host * Contact Us
Bed and Breakfasts in the City of Chicago
Reservation Services in the U.S. and Around the Globe

Thank you for visiting www.BandBMidWest.com!