Let’s Get You Booked! Quote Number (if you have one) Name * First Name Last Name Company Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Check In Date * MM DD YYYY Arrival Time * Hour Minute Second AM PM Check Out Date * MM DD YYYY Are you celebrating a special occasion? How did you hear about us? * Any questions or details you'd like to share? Payment Info Please note that a 25% deposit is required for all bookings. By submitting this form you are authorizing Wild Roots to charge you credit or debit card for 25% of your reservation fee. Name on Card * First Name Last Name Credit Card# * Exp Date * CVV * Billing Address (if different from above) Thank you for booking at Wild Roots! You will receive an email confirmation from our booking platform ResNexus within the next 24 hours. If you have an questions in the meantime please reach out at any time.
