Email address:		(Required)
Your name:		First and Last
Your address:		Mailing
City, ST Zip:		City, State & Zip Code
Phone Number:	Area Code & Number
FAX Number:	Area Code & Number

# of Rooms:
Arrival Date:	Example: 12/31/1999
Departure:	Example: 01/01/2000
# of Adults:
# of Children:
Ages of Children:		Example: 6, 12, and 13

Select the type of room that your require. See our Room Rates for more information on our room types.

Queen Bed King Bed Double Beds Delux King - Suite

List your room requirement(s):

Non-Smoking Ground Floor Handicaped

Senior Citizens & AAA Members are eligible for a 10% discount. Check if you are eligable for a discount

Senior Citizen Discount AAA Discount

I would like information on the following sent to me:

A Brochure on the Kachina Lodge Shopping in Taos Art Galleries in Taos Museum Tours in Taos Taos Pueblo Taos Casino Other Tourst Attractions in the area

I would like information on the following Recreational Activities in the Taos area:

Snow Skiing Golfing Fishing Water Rafting Horseback Riding Jeep Touring Hot Air Ballooning Going on a Llama Trek

I am interested in setting up a Meeting/Conference on the following dates. Please send me some information:

Start Date:	Example - 12/31/1999
Ending Date:	Example - 01/01/2000