1. Name
2. Address - if you wish us to send you a brochure (optional)
3. Email address (this will NOT be given to anyone)
4. Phone Number (so we may call you if there are any questions regarding your request)

Please supply the following information so we may expedite your request:

1. What room (s) are you interested (i.e. Malaysia, Country Comfort, Jade, etc)
    

   Room #1 - Malaysian

   Room #2 - Oriental Jade

   Room #3 - Victorian Rose

   Room #4 - Country Comfort

   Room #5 - Schooner Mendocino

   Room #6 - Grandma's Attic

   Room #7 - Forget Me Not

   Room #8 – Wildflower

   Room #9 - Cottage In Rose