~ Hansen House Mansion ~
Reservation Form

In order to make a reservation, please:
1. Contact us by phone, fax or email to confirm availability and rates.
2. Return the completed reservation form with a 50% deposit. We accept personal, business or travelers checks and (international) money orders. (Make checks payable to Frances Ramer.) To make a bank transfer, please contact us for routing information. For Visa, MasterCard or Discover, please phone with your card information. Your information is held in the strictest confidence.
3. After you inform us of your desire to book a reservation, we hold the unit five days. If we have not received your deposit nor heard from you by that time, the room(s) will be released.
4. Upon receipt of your deposit and reservation form, we will send a confirmation and directions. The balance is due upon arrival. Please get in touch with us with any questions you may have.
5. When we make a reciprocal agreement that you will be staying with us, it would inconvenience both parties if either changed their plans. Therefore, we do not accept cancellations. However, we understand that unforeseen circumstances could arise, and should this occur we will work with you to our mutual satisfaction.
All Guest(s)____________________________________________________
Address________________________________
City_______________________ State________
Zip/Postal Code _________________ Country ____________
Fax number_________________ Daytime phone___________________
Evening phone_________________ Cell phone __________________
E-Mail address (PRINT)_____________________________________

Arrival day__________ Date______________, 2010. Time______AM/PM
(Check-in is normally after 4 PM, but we try to be flexible. If your arrival time should change, please let us know so we can be here to let you in!)
Departure day__________ Date______________, 2010. Time______AM
Check-out is by 11 AM. Please let us know if you need special arrangements.
Duration of stay:_____nights. Number of guests: Adults____ Children____
Room(s) requested: Architect's Quarters_____ Celestial Chamber_____
            Art Nouveau_____ Lit Bateau_____ Parlour Suite_____All_____
The rate per room is $______/night plus 12% tax $_____ = $________/night.
Total for___room(s) = ______/night. The total for___nights(weeks) is $______.
Do you need directions by car__ or public transportation __ from___________
How did you hear of us?_______________________________________
Interested in Chef-prepared Meal?___ Cooking class?___ Tour?___

Remember, The Hansen House Mansion is a non-smoking building.
Thank you for choosing The Hansen House Mansion.

Fran Ramer
The Hansen House Mansion

164 W. Eugenie St.
Chicago, Illinois 60614 USA
Reservations: 773.871.6020
Fax number: 773.871.0412
Guest number: 773.675.2620
E-Mail: