. : Reservation Request

Name:
Address:
City:
State/Country:
Zip:
E-mail:
Home #:
Work #:
Cell #:
FAX #:

Number of Guests
Arrival Date	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2012 2013 2014
Departure Date	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2012 2013 2014
Upper Unit
Lower Unit

Disclaimer Notice:

** NOTICE - PLEASE READ ** Full payment is due 30 days in advance of your "IN" booking date. If reservation is cancelled 60 or less days from arrival date, the Security Deposit is forfeited as a re-rent fee. If cancelled after we have received your payment, refund will be based on number of nights unit is rebooked for dates reserved at equal or greater rates.

I agree with the terms and conditions.