Secure Reservation Request
Laurelville
937-564-6303
Secure Reservation Request
Gift Certificate Ordering Information
p All gift certificates are subject to current date availability at time of redemption.p This gift certificate may only be redeemed for lodging.p No cash refunds No extensions on any expiration dates No rescheduling after 14 days prior to your reservation datep Gift Certificates ARE subject to our Cancellations policy.

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  

Card ID Number

if Mastercard,Visa,Discover

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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Ash Ridge Cabins • 17171 Sam Carr Road • Laurelville  • 937-564-6303