Bear Valley Bed & Breakfast

                                                16000 Kings Way Drive

                                            Anchorage, AK 99516

                                Tel./Fax  (907) 345-3421

                                         E-mail: wito@alaska.com

                                           Web Site: www.bearvalley.net

                   GUEST REGISTRATION SHEET

Last Name: _______________________________              

First Name: _______________________________

Home Address: _______________________________________________________________________

City, State: __________________________            Zip Code: __________   Country: ____________

Telephone Number: __________________________

Number in Party: __________________

Check-In Date: __________________________  

Check-Out Date: ___________________________

Number of Nights: ________________                    Note: Check-Out Time is 11:30 AM

Form of Payment:         CASH              PERSONAL CHECK             TRAVELERS CHECK

(Circle One)

Deposit Paid: $_______________________          

Amount Due: $_________________________

X                                                                                                                                              

Signature                                                                               Date

PLEASE NOTE: THIS IS A NON-SMOKING BED & BREAKFAST