This website has been archived for historical purposes.
The Membrane Domain

This website has been archived for historical purposes.
The Membrane Domain

The Joseph Ambler Inn's
Guest Room Reservation Form


If you are interested in ascertaining the availability of one of our guest rooms, please fill out the following form as completely as possible and click on the "Submit" button below when finished. We will contact you within 48 hours to provide you with your confirmation. Thank you for your inquiry.


Your Name and Mailing Address:

Name: Address:
City: State: Zip:


Phone Numbers (Include area code)

Home: Business: Fax:

What is the date you will be staying?: Month:Day:Year:

How many persons will be staying in the room?

Please select the room you are interested in:


If you require a second room, please fill out the following section:

How many persons will be staying in the room?

Please select the room you are interested in:


If you would like us to hold the room(s) of your choice immediately, we will need the following credit card information:

PLEASE CHOOSE YOUR PAYMENT METHOD:

Expiration Month: Expiration Year:

Credit Card Number:


Thank you.

Thank you.
Please press this button
to submit your reservation request: