Secure Reservation Request
Rockbridge
877-473-8143
Secure Reservation Request
Gift Certificate Ordering Information
If you prefer to not order online or would like to pay by check or money order, you can print this form and mail or fax it to us. Please complete all required fields.OR, just call us at 1-877-322-9192 and we'll help you with your custom-made gift certificate.

The Order Form: (*=required)

*Your First Name

*Your Last Name

*Address

*City

*State/Province

*Zip Code

*Country

*Email

*Day Phone

Evening Phone

*Gift Amount


Gift Information

*Certificate Made Out To

*Make Signed From

Occasion (if any)

Mail to Name

Address

City

State/Province

Zip Code


Credit Card Information

Type of Credit Card

Credit Card Number

Expiration Date  

Please enter the following information as it appears on your credit card's billing address. Please fill in ALL of the following, as they are required to secure your order

copy my information

Name on Card

Address

City

State/Province/Territory

Zip/Postal Code

Country



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Canterbury Cabins • 18811 Indigo Ln. • Rockbridge  • 877-473-8143