Kirby- Hill House Museum Educational Foundation, Inc. 210 West Main Street P.O. Box 592, Kountze, TX 77625 (409) 246-8000 Web site: www.kirbyhillhouse.com E- mail: info@kirbyhillhouse.com Bed and Breakfast Registration Form (Please fill out and return this form with your payment to secure your date.) Date: Amount: Name: Street: City: State/PostalCode: Phones: E- mail: Drivers License Number: How did you hear about us? Payment Method: Credit Card # Exp.: V- Code: Initial, signifying you have read and understand all safety instructions for the Kirby- Hill House Bed & Breakfast.
Bed & Breakfast Information Packet Instruction Sheet Enclosed please find the following: 1. Registration Sheet TO BE COMPLETED AND RETURNED with PAYMENT 2. Safety Instructions 3. Floor Plan 4. Welcome sheet 5. Survey 6. Key Return Instructions - Please leave the key in the envelope provided on the kitchen table with your completed survey.
SAFETY INSTRUCTIONS FOR KIRBY- HILL HOUSE BED & BREAKFAST GUESTS Prior to your stay, please locate the (4) main exits found on the attached form. Also, be familiar with where the following safety devices are placed. Located in Downstairs and Upstairs Hallways: SMOKE ALARM CARBON MONOXIDEDETECTOR FIRE EXTINGUISHER (ONE IN KITCHEN) EMERGENCY LIGHTS EMERGENCY PHONE NUMBERS: Kountze Police: (409) 246-2119 Hardin County Sheriff: (409) 246-5100 Fire: (409) 246-3131 Ambulance: Priority One EMS Kountze 246-1088 Priority One EMS Silsbee 385-4500 OTHER EMERGENCIES PLEASE DIAL 911 Physical Address: Kirby- Hill House, 210 West Main Street, Kountze, Tx. 77625 Kirby- Hill House emergency contact: Elaine Allums (409) 246-2384 (home) (409) 791-7920 (cell) Susan Cole (409) 893-8503 (cell)
Welcome to the Kirby- Hill House Bed & Breakfast There are three rooms available to rent at a cost of $99.00 per room. Each room has one double bed and a window air conditioner unit. We have electric oil heaters for cold weather. There are two bathrooms in the house with claw- foot tubs. No showers. Linens and towels are provided. Check- in is at or after 4pm and Check- out is at 11am. A Breakfast Voucher is included which is redeemable at MaMa Jack's Restaurant in Kountze. This voucher provides two buffet breakfast plates and two coffees. It is not redeemable for cash. There is a second option for the B&B rental that includes a Formal Breakfast. If you are interested, please inquire. If you have any questions or an emergency, you may call our Event Coordinator, Susan Cole at 409-893- 8503, or Elaine Allums at 409-791- 7920 or 409-246- 2384 The phone number for the house is 409-246- 8035 and a phone is located in the kitchen near the coffee pots. The physical address is 210 West Main Street, Kountze, TX 77625. Please sign our guest registry downstairs in the foyer. There is also a Donation Box for your convenience. Please observe our NO SMOKING request for this historic building. We also request that no long distance calls be made from this phone and all food be consumed on the downstairs level. Please help us maintain our landscaping by refraining from cutting any of our bushes, trees, or flowering plants. We hope you enjoy your stay with us and tell your friends! Kirby-Hill House Educational Foundation
KIRBY- HILL HOUSE BED & BREAKFAST SURVEY Thank you for visiting the Kirby- Hill House Bed & Breakfast. We hope you enjoyed your stay. We re planning some improvements to the house and we hope that visitors like yourself can help us by giving your honest opinion about what you liked and what you think needs improvement. Please leave your completed survey on the kitchen table upon your departure. Thank you in advance! YOUR NAME: 1. How would you rate your visit to the Kirby- Hill House Bed & Breakfast: Not at all Enjoyable Extremely Enjoyable 1 2 3 4 5 6 2. What was the most memorable part of your stay? 3. Which words or phrases best describe the House and your stay at the Bed & Breakfast? Charming Relaxing Enthralling Educational Informative Beautiful Not long enough Un-kept Unfinished Cold Hot Lovely Work in progress Typical B&B Unsafe 4. Would you be interested in donating to the Kirby- Hill House either through volunteering or funding?