Overnight Stay | The Longwood Inn

Request an Overnight Stay

Please note, while we do all we can to help out, there is a $100/night per room charge to help us cover our minimum expenses.

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Name*

Phone

Email*

Address*

Patient's Name*

Patient Age*

Hospital*

Doctor*

When are you arriving?*

How many days will you be staying?*

Please note, if you need more than five days, please reach out to us directly so we can try to accommodate with one of our partners.

How many guests will be joining you?*

Are there any children in your group?*

Yes

What are the children's ages?

What city are you coming from?*

Can you provide a Rabbi reference?*

Please tell us if there is a Rabbi or Rebbetzin in your life that can tell us a little more about you

Yes

Rabbi Name

Name

Rabbi Phone Number

How did you hear about us?*

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Please email us if you need further assistance info@chaihospitality.com