The Hillsboro Club

Room Reservation Request

Fill in the form below to submit a room reservation request. Please note: This is simply a request until which time a confirmation is sent via mail. Please be sure to fill in all fields marked with an *.
 

Title:
* First Name:  
* Last Name:  
Status:
* Arrival Date:  
* Departure Date:  
Number of Adults:
Number of Children:
Type of Room:
Bed Type:
* Address 1:  
Address 2:
* City, State, Zip:  
* Phone Number:  
* Email:  
Additional Occupants:
Please list names 
(and ages for 
children only) 
Message: